SearchMichigan1041C0700X

Mackenzie Dickerson, LMSW

NPI 1821629395 · on the registry since 2020

Practice

Address
4069 Lake Dr Se Ste 315
Grand Rapids, MI 49546
Phone
(616) 267-7700
Organisation at this address
Spectrum Health
Michigan Medical Pc
Spectrum Health Hospital
Spectrum Health Hospitals
Michigan Medical Patient Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
121

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-05

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