Individual
DAVID EMMENECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 258-7467
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
6851114045
MI
Other
Enumeration date
10/29/2020
Last updated
12/13/2022
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