Individual
CAMERON MITCHELL WOLBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-9200
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-9200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801110012
MI
104100000X
Social Worker
Primary
6851110012
MI
247200000X
Other Technician
—
—
Other
Enumeration date
07/23/2019
Last updated
08/18/2021
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