Individual
JACQUELINE A WONDOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
350 LAFAYETTE AVE SE STE 301, GRAND RAPIDS, MI 49503-4656
(616) 458-0801
(616) 458-4065
Mailing address
350 LAFAYETTE AVE SE STE 301, GRAND RAPIDS, MI 49503-4656
(616) 458-0801
(616) 458-4065
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801021654
MI
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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