Individual
ANANYA AVINASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1403 60TH ST SE, GRAND RAPIDS, MI 49508-7065
(616) 805-3660
(616) 805-3631
Mailing address
1403 60TH ST SE, GRAND RAPIDS, MI 49508-7065
(616) 805-3660
(616) 805-3631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801104718
MI
Other
Enumeration date
11/03/2020
Last updated
12/08/2020
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