Individual
HALEY KADZBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1843 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 773-2908
(616) 532-3046
Mailing address
1843 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 773-2908
(616) 532-3046
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801090258
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801090258
STATE LICENSE
MI
Enumeration date
02/18/2021
Last updated
02/18/2021
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