Individual
CAROLINE WIERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5960
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801103570
MI
247200000X
Other Technician
—
—
Other
Enumeration date
09/30/2015
Last updated
04/24/2019
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