Individual
CONNER KREIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 VAN OMMEN DR STE C, HOLLAND, MI 49424-8085
(616) 350-7781
Mailing address
1011 SHELDON AVE SE, GRAND RAPIDS, MI 49507-1166
(260) 224-5867
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801109138
MI
1041C0700X
Clinical Social Worker
Primary
6801118910
MI
Other
Enumeration date
03/22/2021
Last updated
12/13/2024
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