Individual
AUTUMN LANAE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2335 BURTON ST SE STE 210, GRAND RAPIDS, MI 49506-4669
(616) 236-3600
(616) 369-1449
Mailing address
2655 GRAND CASTLE BLVD SW APT E311, GRANDVILLE, MI 49418-1695
(313) 970-8378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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