Individual
MS. CANDIS ELIZABETH HYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW CAADC
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 541-5538
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 541-5538
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801096619
MI
1041C0700X
Clinical Social Worker
Primary
6801096619
MI
Other
Enumeration date
05/06/2015
Last updated
05/27/2025
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