Individual
BRIAN J DE VOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
(616) 254-7717
(616) 224-7610
Mailing address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
(616) 254-7717
(616) 224-7610
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801088379
MI
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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