Individual
MS. CATHERINE ANN NIETUPSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-7775
(616) 456-8568
Mailing address
1648 11 MILE RD NE, COMSTOCK PARK, MI 49321-9588
(616) 866-2519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L980948
MI
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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