Individual
ANTHONY HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
108 BENJAMIN AVE SE, GRAND RAPIDS, MI 49506-1630
(616) 648-7322
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/30/2015
Last updated
08/30/2015
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