Individual
BROOKE T DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
360 E. BETLINE NE, SUITE 100, GRAND RAPIDS, MI 49506
(616) 805-3660
Mailing address
2066 N SHORE DR SE APT 202, GRAND RAPIDS, MI 49508-0930
(616) 340-1892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
680108752
MI
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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