Individual
DANIELLE KATHRYNE JANDERNOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
890 3 MILE RD NW, STE 2, GRAND RAPIDS, MI 49544-8216
(616) 202-2342
(616) 369-3769
Mailing address
890 3 MILE RD NW, STE 2, GRAND RAPIDS, MI 49544-8216
(616) 202-2342
(616) 369-3769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093815
MI
Other
Enumeration date
03/27/2012
Last updated
04/08/2020
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