Individual
JENNA TEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1111 40TH ST SE, GRAND RAPIDS, MI 49508-6084
(616) 241-6258
(616) 241-6470
Mailing address
1111 40TH ST SE, GRAND RAPIDS, MI 49508-6084
(616) 241-6258
(616) 827-4359
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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