Individual
GLEN BROOKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
104100000X
Social Worker
Primary
6802089924
MI
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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