Individual
CEDRIC J BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802081404
MI
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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