Philip Robert Courtright LMSW

NPI 1043516263 - Social Worker - 1041C0700X

NPI Details
NPI 1043516263
Gender Male
Enumeration Date 02/04/2011
Last Updated 02/04/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3300 36TH ST SE
GRAND RAPIDS MI, 49512-2810, US
Phone (616) 942-2110
Fax
Business Location
3300 36TH ST SE
GRAND RAPIDS MI, 49512-2810, US
Phone (616) 942-2110
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801061373
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According to our database, Mr. Philip Robert Courtright LMSW NPI is 1043516263, taxonomy code is 1041C0700X and license number is 6801061373, license state is located at Michigan. Philip Robert Courtright LMSW physically located at 3300 36th St Se, Grand Rapids MI, 49512-2810. NPI Number Philip Robert Courtright LMSW has the Individual type.

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1043516263 NPI number is provided on an as is basis without warranty of any kind. 1043516263 is maintained by the National Plan & Provider Enumeration System. The contents of Philip Robert Courtright LMSW are for informational purposes only.