Individual
DAVID WAYNE GANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
730 N CENTER CT NW OFC, WALKER, MI 49544-8236
(616) 369-4002
Mailing address
730 N CENTER CT NW OFC, GRAND RAPIDS, MI 49544-8236
(616) 369-4002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801086868
MI
1041C0700X
Clinical Social Worker
6801086868
MI
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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