Individual
MRS. EMILY ANN ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
654 DAVIS AVE NW, GRAND RAPIDS, MI 49504-5149
(616) 897-7842
Mailing address
8779 LEONARD ST, COOPERSVILLE, MI 49404-9753
(616) 997-2410
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801090629
MI
Other
Enumeration date
03/14/2012
Last updated
01/17/2017
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