Search › Michigan › 104100000X
Kandis Deshaw, LMSW
NPI 1740550151 · on the registry since 2012 · sole proprietor
Practice
- Address
- 710 Kenmoor Ave Se Ste 200
Grand Rapids, MI 49546 - Phone
- (616) 588-7246
- Organisation at this address
- The Imaging Center Pc
Javery Pain Institute Pc
Paper Plane Therapies, Llc
Intervention Insights Inc.
Western Michigan Pediatrics, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Additional practice sites
- 100 Cherry St Se, Grand Rapids, MI
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-06
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