Individual
HALIE MAE FOULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
4967 PIERCE ST, BUILDING M, APT 1312, ALLENDALE, MI 49401-8224
(810) 956-7361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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