Individual
DAN SIEGEL FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
75 SHELDON BLVD SE, SUITE 100 & 101, GRAND RAPIDS, MI 49503-4224
(616) 391-2420
(616) 391-4425
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801057400
MI
Other
Enumeration date
10/05/2006
Last updated
12/19/2013
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