Individual
HEATHER A DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
4255 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3638
(616) 455-0960
(616) 455-7324
Mailing address
4255 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3638
(616) 455-0960
(616) 455-7324
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
02/13/2015
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