Individual
MRS. ELLEN MARI WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
Mailing address
17149 MICHIGAN DR, SPRING LAKE, MI 49456-9583
(989) 414-9580
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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