Organization
CATHERINE A VANDEWEGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE ANNE HINTON VANDEWEGE LMSW, CAADC (CLINICAL SOCIAL WORKER)
(616) 574-4098
Entity
Organization
Contact information
Practice address
800 MONROE AVE NW STE 201, GRAND RAPIDS, MI 49503-1448
(616) 574-4098
(313) 202-8257
Mailing address
2250 SYLVAN AVE SE, GRAND RAPIDS, MI 49506-5253
(616) 574-4098
(313) 202-8257
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225245517
—
MI
Enumeration date
01/14/2019
Last updated
01/14/2019
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