Individual
MS. CHERYL MARIE SOARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2525 E PARIS AVE SE STE 111, GRAND RAPIDS, MI 49546-6191
(616) 451-2777
(616) 451-3888
Mailing address
2525 E PARIS AVE SE STE 111, GRAND RAPIDS, MI 49546-6191
(616) 451-2777
(616) 451-3888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-01184
MI
104100000X
Social Worker
6801082561
MI
1041C0700X
Clinical Social Worker
Primary
6801082561
MI
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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