Individual
CARMEN DIEPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW, BS
Contact information
Practice address
201 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4513
(616) 956-8200
Mailing address
7167 ROYAL OAK DR, HUDSONVILLE, MI 49426-9090
(616) 822-8815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6202081036
MI
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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