HENRIETTA NMN SQUIRES

GRAND RAPIDS, MI
NPI1710031133
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MI  6802058948)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
Mrs. HENRIETTA NMN SQUIRES MSW, OTR
781 36TH ST SE
GRAND RAPIDS, MI 49548-2319
Phone number: 616-248-5112
Mailing Address
Mrs. HENRIETTA NMN SQUIRES MSW, OTR
781 36TH ST SE
GRAND RAPIDS, MI 49548-2319
Phone number: 616-248-5112