Individual
MRS. DANA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
103 COLLEGE AVE SE # 303, GRAND RAPIDS, MI 49503-5921
(616) 229-4815
Mailing address
103 COLLEGE AVE SE # 303, GRAND RAPIDS, MI 49503-5921
(616) 229-4815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801107011
MI
Other
Enumeration date
02/08/2021
Last updated
11/22/2021
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