Individual
KATHRYN LEIGH PADRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
550 3 MILE RD NW, GRAND RAPIDS, MI 49544-8207
(616) 222-3720
(616) 222-3724
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801090738
MI
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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