Individual
MS. KAITLIN KATHLEEN GENSLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 40TH ST SE, GRAND RAPIDS, MI 49508-6084
(616) 827-4187
Mailing address
1111 40TH ST SE, GRAND RAPIDS, MI 49508-6084
(616) 827-4187
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
12/02/2021
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