Individual
MS. DONNA MARIE HATTEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BM, LBSW, CADC-M
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5360
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802063620
MI
Other
Enumeration date
04/02/2012
Last updated
04/03/2012
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