KATHRYN LYNNE HICKOK MANNEBACH

GRAND RAPIDS, MI
NPI1245724020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801091668)
Enumeration Date2018-06-15
Last Update Date2023-06-22
Business Address
KATHRYN LYNNE HICKOK MANNEBACH LMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 269-330-4963
Mailing Address
KATHRYN LYNNE HICKOK MANNEBACH LMSW
75 DIAMOND AVE NE
GRAND RAPIDS, MI 49503-3602
Phone number: 269-330-4963