Individual
DIANE MARLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
800 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-5848
(616) 456-6135
(616) 771-9779
Mailing address
680 BUTH DR NE, COMSTOCK PARK, MI 49321-8206
(616) 647-0049
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802085147
MI
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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