Individual
CONSTANCE DEMOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
739 VAN BUREN AVE NW, GRAND RAPIDS, MI 49504-4024
(586) 453-3528
Mailing address
739 VAN BUREN AVE NW, GRAND RAPIDS, MI 49504-4024
(586) 453-3528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801094236
MI
1041C0700X
Clinical Social Worker
Primary
6801094236
MI
Other
Enumeration date
09/12/2012
Last updated
11/14/2016
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