Individual
ALISON MARIE CIESA-BOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
2115 MELITA AVE NE, GRAND RAPIDS, MI 49505-4236
(269) 779-9619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
06/01/2023
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