Individual
KATHY A MYRKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2100 RAYBROOK ST SE STE 203, GRAND RAPIDS, MI 49546-5783
(616) 956-9440
(616) 954-1520
Mailing address
2100 RAYBROOK ST SE STE 203, GRAND RAPIDS, MI 49546-5783
(616) 956-9440
(616) 954-1520
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801085782
MI
Other
Enumeration date
05/02/2011
Last updated
01/23/2020
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