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Individual

ELIANE JUNE HOOGEBOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
933 3 MILE ROAD, GRAND RAPIDS, MI 49504
(616) 222-3720
Mailing address
300 68TH STREET SE, GRAND RAPIDS, MI 49548
(616) 455-5000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801046976
MI
106H00000X
Marriage & Family Therapist
Primary
4101005651
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
800D16222
BC/BS
MI
Enumeration date
10/05/2006
Last updated
09/11/2025
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