Individual
ANTHONY KIRVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49505-4705
(214) 717-3953
Mailing address
8797 FLAT CREEK DR UNIT I, ROCKFORD, MI 49341-8947
(214) 717-3953
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851111153
MI
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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