Individual
HALEY FEDEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(517) 526-1367
Mailing address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
08/30/2023
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