Laurice Fran Tibble MSW,CAC1

NPI 1780723478 - Social Worker - 104100000X

NPI Details
NPI 1780723478
Gender Female
Enumeration Date 02/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
901 EASTERN AVE NE
GRAND RAPIDS MI, 49503-1201, US
Phone (616) 224-7544
Fax
Business Location
2447 THRUSH DR
JENISON MI, 49428-9112, US
Phone (616) 669-0365
Fax
Toxanomy
Taxonomy Code 104100000X
License State Michigan
License Number 6801066131
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According to our database, Ms. Laurice Fran Tibble MSW,CAC1 NPI is 1780723478, taxonomy code is 104100000X and license number is 6801066131, license state is located at Michigan. Laurice Fran Tibble MSW,CAC1 physically located at 901 Eastern Ave Ne, Grand Rapids MI, 49503-1201. NPI Number Laurice Fran Tibble MSW,CAC1 has the Individual type.

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1780723478 NPI number is provided on an as is basis without warranty of any kind. 1780723478 is maintained by the National Plan & Provider Enumeration System. The contents of Laurice Fran Tibble MSW,CAC1 are for informational purposes only.