Individual
JOANE DEVON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
4255 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3638
(616) 455-0960
(616) 774-7324
Mailing address
PO BOX 68327, GRAND RAPIDS, MI 49516-8327
(616) 774-0853
(616) 774-0328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802033307
MI
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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