Individual
DANE MICHAEL ADDINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4829 E BELTLINE AVE NE STE 302, GRAND RAPIDS, MI 49525-9350
(616) 226-6522
(616) 608-6751
Mailing address
1013 GOLFCREST DR SW, WYOMING, MI 49509-9573
(616) 514-0757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851118032
MI
1041C0700X
Clinical Social Worker
6851118032
MI
Other
Enumeration date
05/08/2024
Last updated
02/11/2025
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