Individual
ANTHONY SECORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 494-5698
(616) 393-5687
Mailing address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 494-5698
(616) 393-5687
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802085389
MI
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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