Individual
MS. CANDACE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4324
(616) 315-4402
Mailing address
129 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4324
(616) 315-4402
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
175319661
MI
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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