Individual
COURTNEY RENE CINGLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 495-7215
(616) 451-0020
Mailing address
1115 BALL AVENUE NE, GRAND RAPIDS, MI 49505-4304
(616) 495-7215
(616) 451-9929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801086216
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381358001
APPLICATION PENDING
MI
Enumeration date
08/14/2007
Last updated
09/25/2014
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