ANNITA LIST

GRAND RAPIDS, MI
NPI1255541462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801061325)
Enumeration Date2007-05-23
Last Update Date2007-07-09
Business Address
-- ANNITA LIST LMSW
744 BURTON ST SE
GRAND RAPIDS, MI 49507-3204
Phone number: 616-451-1965
Mailing Address
-- ANNITA LIST LMSW
5423 CLAUDIA AVE SE
KENTWOOD, MI 49548-5844
Phone number: 616-531-5315