Individual
DANIELLE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 LEONARD ST NE, GRAND RAPIDS, MI 49505-5515
(616) 774-8789
(616) 776-1305
Mailing address
3940 CAMELOT DR SE, GRAND RAPIDS, MI 49546-6006
(616) 490-1499
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803086666
MI
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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