Individual
MRS. DANA ROSE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1939 S DIVISION AVE., GRAND RAPIDS, MI 49507
(616) 247-3815
(616) 245-0450
Mailing address
1939 S DIVISION AVE., GRAND RAPIDS, MI 49507
(616) 247-3815
(616) 245-0450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802090163
MI
Other
Enumeration date
09/05/2017
Last updated
06/08/2020
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