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Search › Michigan › 104100000X

Diana Jackson-Whitfield, MA/LBSW

NPI 1649663196 · on the registry since 2015 · sole proprietor

Practice

Address
790 Fuller Ave Ne
Grand Rapids, MI 49503
Phone
(616) 336-3909
Fax
(616) 336-2475
Organisation at this address
Kent County Cmh Authority
Kent County Cmh Authority
Kent County Cmh Authority
Kent County Cmh Authority
Kent County Cmh Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
389

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YM0800X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan