Individual
MRS. ANISSA LAUREN EDDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1532 PINE AVE NW, GRAND RAPIDS, MI 49504-3029
(616) 247-3815
(616) 245-0450
Mailing address
1532 PINE AVE NW, GRAND RAPIDS, MI 49504-3029
(616) 247-3815
(616) 245-0450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801088649
MI
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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