Individual
JESSICA VAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
(616) 224-7540
(616) 254-7750
Mailing address
PO BOX 294, GRAND RAPIDS, MI 49501-0294
(616) 224-7540
(616) 254-7750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851109522
MI
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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