Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | MI |
NPI | 1003033481 |
---|---|
Provider Name | Nan L Hunt |
First Address | Cedar Springs, MI 49319 |
Second Address | Grand Rapids, MI 49546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 08/07/2007 |