Individual
MRS. ANTOINETTE ALEXANDRIA VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3584 FAIRLANES AVE SW STE 2, GRANDVILLE, MI 49418-1583
(616) 222-5300
(616) 222-5309
Mailing address
3584 FAIRLANES AVE SW STE 2, GRANDVILLE, MI 49418-1583
(616) 222-5300
(616) 222-5309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6851114979
MI
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
MI
Other
Enumeration date
02/01/2022
Last updated
11/27/2023
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