Individual
ALLISON HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 516-6396
Mailing address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 516-6396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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