Mary Rose

NPI 1013302686 - Social Worker - 1041S0200X

NPI Details
NPI 1013302686
Gender Female
Enumeration Date 04/01/2015
Last Updated 04/01/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
901 EASTERN AVE NE
GRAND RAPIDS MI, 49503-1201, US
Phone (616) 375-6478
Fax (616) 574-7966
Business Location
901 EASTERN AVE NE
GRAND RAPIDS MI, 49503-1201, US
Phone (616) 375-6478
Fax (616) 574-7966
Toxanomy
Taxonomy Code 1041S0200X
License State
License Number
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According to our database, Mary Rose NPI is 1013302686, taxonomy code is 1041S0200X Mary Rose physically located at 901 Eastern Ave Ne, Grand Rapids MI, 49503-1201. NPI Number Mary Rose has the Individual type.

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1013302686 NPI number is provided on an as is basis without warranty of any kind. 1013302686 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Rose are for informational purposes only.