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Individual

ALEJANDRA VENCES-JURADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2172 DEAN LAKE AVE NE, GRAND RAPIDS, MI 49505-4444
(616) 690-1433
(616) 774-3842
Mailing address
2172 DEAN LAKE AVE NE, GRAND RAPIDS, MI 49505-4444
(616) 690-1433
(616) 774-3842

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801105856
MI
1041C0700X
Clinical Social Worker
Primary
6801113887
MI

Other

Enumeration date
10/03/2019
Last updated
04/20/2023
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