Individual
BENJAMIN ESH-NAUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1309 SHELDON RD, GRAND HAVEN, MI 49417-2404
(616) 842-3600
(616) 847-5555
Mailing address
300 VISSER ST, SPRING LAKE, MI 49456-2063
(616) 502-5291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801099814
MI
1041C0700X
Clinical Social Worker
Primary
6801106774
MI
Other
Enumeration date
05/17/2019
Last updated
05/04/2020
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