Individual
BRADLEY VANDENEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 LEONARD ST NE, GRAND RAPIDS, MI 49503-1138
(616) 916-1175
Mailing address
805 LEONARD ST NE, GRAND RAPIDS, MI 49503-1138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091941
MI
Other
Enumeration date
02/20/2015
Last updated
01/24/2023
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