Individual
AUDREY CAMILLE KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
320 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4101
(616) 258-7599
(616) 222-4571
Mailing address
320 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4101
(616) 258-7599
(616) 222-4571
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801095696
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/23/2013
Last updated
04/02/2015
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