Individual
CODY JACOB ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
304 VALLEY AVE NW, GRAND RAPIDS, MI 49504-5471
(616) 808-1030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/23/2020
Last updated
05/23/2020
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