Individual
CASSI VANDEWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3861 WILSON AVE SW, GRANDVILLE, MI 49418-1815
(616) 260-5700
Mailing address
3861 WILSON AVE SW, GRANDVILLE, MI 49418-1815
(616) 260-5700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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