Individual
ANTENEAH GRACE BREMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 451-3001
Mailing address
303 INDIANA AVE NW APT 2, GRAND RAPIDS, MI 49504-5511
(616) 255-7550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801109640
MI
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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