Alisha A Pennington LBSW

NPI 1467711887 - Social Worker - 104100000X

NPI Details
NPI 1467711887
Gender Female
Enumeration Date 05/04/2012
Last Updated 05/04/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
GRAND RAPIDS MI, 49503-4526, US
Phone (616) 965-8200
Fax (616) 940-5360
Business Location
703 56TH ST SE
KENTWOOD MI, 49548-5807, US
Phone (616) 723-6287
Taxonomy Code 104100000X
License State Michigan
License Number 6802085296
Remove 1467711887 NPI Number

According to our database, Mrs. Alisha A Pennington LBSW NPI is 1467711887, taxonomy code is 104100000X and license number is 6802085296, license state is located at Michigan. Alisha A Pennington LBSW physically located at 100 Cherry St Se, Grand Rapids MI, 49503-4526. NPI Number Alisha A Pennington LBSW has the Individual type.

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1467711887 NPI number is provided on an as is basis without warranty of any kind. 1467711887 is maintained by the National Plan & Provider Enumeration System. The contents of Alisha A Pennington LBSW are for informational purposes only.