Individual
MS. CHRISTINE ANN BOENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
2204 E SHIAWASSEE DR SE, GRAND RAPIDS, MI 49506-5341
(616) 915-5844
Mailing address
2204 E SHIAWASSEE DR SE, GRAND RAPIDS, MI 49506-5341
(616) 915-5844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802058130
MI
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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