Individual
MRS. JENNIFER ANN HAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
3809 LAKE EASTBROOK BLVD SE STE A, GRAND RAPIDS, MI 49546-5931
(616) 604-8492
(616) 604-8493
Mailing address
1750 HORIZON DR, IONIA, MI 48846-2028
(616) 902-5130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801078589
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801078589
MICHIGAN SOCIAL WORK LICENSE - LMSW
MI
Enumeration date
07/12/2021
Last updated
07/12/2021
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