Individual
AUDREY LITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4079 PARK EAST CT SE, SUITE C, GRAND RAPIDS, MI 49546-8815
(616) 425-2176
Mailing address
634 64TH ST, SOUTH HAVEN, MI 49090-9379
(269) 823-4873
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094984
MI
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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