Individual
JESSICA GIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 831-5627
Mailing address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 831-5627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802088144
MI
Other
Enumeration date
02/13/2015
Last updated
07/31/2019
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