Organization
CHILDHOOD BEHAVIOR CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORTNEY RAE DUFFNER LMSW (SOCIAL WORKER)
(616) 443-7009
Entity
Organization
Contact information
Practice address
4829 E BELTLINE AVE NE STE 303, GRAND RAPIDS, MI 49525-9350
(616) 443-7009
Mailing address
5580 HIGHBURY DR SE, ADA, MI 49301-7738
(616) 443-7009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
01/05/2019
Last updated
01/05/2019
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