Individual
JACKIE MARIE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 558-2824
Mailing address
192 E WATERLOO ST, CASNOVIA, MI 49318-9715
(616) 633-2718
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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