Individual
KATIE BOELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801119772
MI
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
MI
Enumeration date
03/02/2015
Last updated
03/24/2026
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