Individual
JOHN F NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9090 S RODGERS CT SE, CALEDONIA, MI 49316-8052
(616) 891-8770
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801012212
MI
Other
Enumeration date
09/24/2006
Last updated
07/09/2007
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