Individual
FALLON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6505 CHERRY MEADOW DR SE, CALEDONIA, MI 49316-9484
(616) 891-8770
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801119903
MI
1041C0700X
Clinical Social Worker
6801119903
MI
Other
Enumeration date
05/10/2021
Last updated
06/26/2025
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