Individual
CATHERINE E WADDILOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17224 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 296-2130
Mailing address
17224 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 296-2130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-012876
IL
Other
Enumeration date
03/15/2010
Last updated
02/03/2025
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