Individual
ALISHA KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802087552
MI
1041C0700X
Clinical Social Worker
Primary
6801114067
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6801098568
—
MI
05
—
6851098568
—
MI
Enumeration date
02/26/2015
Last updated
04/11/2022
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