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Managed Care Organizations at Adams St, Grand Rapids, MI

License number
Michigan 6801092790
Category
Social Work
Type
Clinical
License number
Michigan 6801092790
Category
Managed Care Organizations
Type
Exclusive Provider Organization
License number
Michigan 6801092790
Category
Managed Care Organizations
Type
Preferred Provider Organization
License number
Michigan 6801092790
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: VONZOLLA MONIQUE ELLIOTT LCSW
Title: OWNER
Phone: (504) 621-2050
Address
Address
1026 Adams St SE, Grand Rapids, MI 49507
National Provider ID: 1790151231
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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