Individual
MRS. BRITTNEY LEE WAGENVELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7740 BYRON CENTER AVE SW STE 102, BYRON CENTER, MI 49315-6929
(616) 366-5813
Mailing address
10235 SUMMERWOOD DR, ZEELAND, MI 49464-2239
(616) 298-5858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801116052
MI
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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