Individual
POOJA S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
151 ELMWOOD ST NE, GRAND RAPIDS, MI 49505-6222
(810) 569-5227
Mailing address
151 ELMWOOD ST NE, GRAND RAPIDS, MI 49505-6222
(810) 569-5227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
MI
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802693126
LARA
MI
Enumeration date
09/10/2018
Last updated
06/23/2021
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