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Individual

CALEB JAMES WISEMCCANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LLMSW

Contact information

Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801103688
MI

Other

Enumeration date
04/17/2020
Last updated
12/18/2025
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