Individual
BETHEL D REIMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
529 GREENWOOD SE, GRAND RAPIDS, MI 49506
(616) 551-3884
(616) 551-3884
Mailing address
2057 43RD STREET SE R-04, R-04, GRAND RAPIDS, MI 49508
(616) 551-3884
(616) 551-3884
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8601001172
MI
1041C0700X
Clinical Social Worker
6801001172
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0896835
BCBSM
MI
Enumeration date
03/24/2006
Last updated
08/08/2012
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