Individual
MRS. AGATHA VANHAREN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4519 CASCADE RD SE, GRAND RAPIDS, MI 49546-3666
(616) 690-6591
Mailing address
4519 CASCADE RD SE, GRAND RAPIDS, MI 49546-3666
(616) 690-6591
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
Other
Enumeration date
06/25/2006
Last updated
07/26/2007
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