Organization
CTED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ROBINSON (CREDENTIALING CONTACT)
(239) 791-6363
Entity
Organization
Contact information
Practice address
1003 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3664
(616) 957-7700
(616) 957-7773
Mailing address
1003 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3664
(616) 957-7700
(616) 957-7773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
05/12/2006
Last updated
05/21/2021
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