Anissa Lauren Eddie

NPI 1740594720 - Social Worker - 1041C0700X

NPI Details
NPI 1740594720
Gender Female
Enumeration Date 08/02/2010
Last Updated 08/02/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1532 PINE AVE NW
GRAND RAPIDS MI, 49504-3029, US
Phone (616) 247-3815
Fax (616) 245-0450
Business Location
1532 PINE AVE NW
GRAND RAPIDS MI, 49504-3029, US
Phone (616) 247-3815
Fax (616) 245-0450
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801088649
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According to our database, Mrs. Anissa Lauren Eddie NPI is 1740594720, taxonomy code is 1041C0700X and license number is 6801088649, license state is located at Michigan. Anissa Lauren Eddie physically located at 1532 Pine Ave Nw, Grand Rapids MI, 49504-3029. NPI Number Anissa Lauren Eddie has the Individual type.

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1740594720 NPI number is provided on an as is basis without warranty of any kind. 1740594720 is maintained by the National Plan & Provider Enumeration System. The contents of Anissa Lauren Eddie are for informational purposes only.