Individual
ANDREA WALCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1346 BALDWIN ST #13, GRAND RAPIDS, MI 49505-5904
(167) 658-5856
Mailing address
218 E 1ST AVE STE C, MITCHELL, SD 57301-3467
(616) 626-1112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
6801115159
MI
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/22/2015
Last updated
03/05/2026
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