Organization
BOARD OF EDUCATION KENT COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER VIDEAN (CREDENTIALING COORDINATOR)
(800) 968-6866
Entity
Organization
Contact information
Practice address
1331 FRANKLIN ST SE, GRAND RAPIDS, MI 49506-2634
(616) 819-4806
Mailing address
1331 FRANKLIN ST SE, GRAND RAPIDS, MI 49506-2634
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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