Individual
MRS. ALISHA A PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5360
Mailing address
703 56TH ST SE, KENTWOOD, MI 49548-5807
(616) 723-6287
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802085296
MI
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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