Individual
CHRISTOPHER SANJURJO MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
440 BALTIMORE DR NE, GRAND RAPIDS, MI 49503-3934
(616) 301-8000
Mailing address
825 LEONARD ST NE, GRAND RAPIDS, MI 49503-1177
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801108355
MI
1041C0700X
Clinical Social Worker
6801108355
MI
Other
Enumeration date
12/28/2019
Last updated
09/13/2022
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