Individual
CYNTHIA M VANDERKODDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
523 LYON ST NE, GRAND RAPIDS, MI 49503-3466
(616) 222-6861
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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