Individual
MRS. ENID ARLETA GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 451-3001
(616) 451-8779
Mailing address
1113 LYON ST NE, GRAND RAPIDS, MI 49503-3638
(616) 443-8490
(616) 776-5266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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