PATRICIA DIEKEMA

GRAND RAPIDS, MI
NPI1700272747
Former NamePATRICIA CARLTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801096439)
Enumeration Date2015-04-07
Last Update Date2018-05-09
Business Address
PATRICIA DIEKEMA
1939 DIVISION AVE S
GRAND RAPIDS, MI 49507-2459
Phone number: 616-247-3815
Mailing Address
PATRICIA DIEKEMA
1939 DIVISION AVE S
GRAND RAPIDS, MI 49507-2459
Phone number: 616-247-3815