Individual
ANGELA DEJONGE MERAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1939 DIVISION AVE S, GRAND RAPIDS, MI 49507-2459
(616) 247-3815
(616) 245-0450
Mailing address
207 W 17TH ST, HOLLAND, MI 49423-4114
(616) 247-3815
(616) 245-0450
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803086314
MI
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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