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Organization

DAWN WALCOTT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN RENEE WALCOTT LMSW (CEO)
(616) 818-5911
Entity
Organization

Contact information

Practice address
2040 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-7718
(616) 818-5911
Mailing address
510 EDWARD ST, MIDDLEVILLE, MI 49333-9775
(616) 818-5911

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
06/14/2024
Last updated
06/14/2024
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