Individual
CLEMENTINE TUYUMVIRE SIKIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-7775
Mailing address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851117486
MI
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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