Individual
KATHERINE RENA ELENBAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
211 W PINE LAKE DR, NEWAYGO, MI 49337-8029
(231) 652-1631
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801092605
MI
Other
Enumeration date
11/03/2010
Last updated
05/01/2025
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