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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KANDIS KOREEN DESHAW, LMSW

Active Sole Proprietor

KANDIS KOREEN DESHAW, LMSW is a Social Worker healthcare provider located in GRAND RAPIDS, Michigan. NPI 1740550151 is currently active in the NPPES registry. Verify at CMS.

Social Worker · GRAND RAPIDS, MI

Registration Details

NPI Number
1740550151
Provider Type
Individual
Gender
Female
NPI Issued
Jan 3, 2012 (14.567189143873 yrs)
Last Updated
Mar 6, 2019
Licenses
6801093338 (MI)
6801093338 (MI)
Sole Proprietor
Yes

Practice Information

Address
710 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI, 495462379
Browse MI providers · Browse ZIP 49546
Phone
6165887246
Primary Specialty
Social Worker
104100000X
Additional Specialty
Clinical Social Worker

Other Social Worker Providers in GRAND RAPIDS, MI

Name Credential NPI
MR. KENNETH WAYNE VANBEEK MSW 1770584856
MRS. ROSALYN BAKER LMSW LMFT 1730161001
BETHEL D REIMEL LMSW 1316907462
ERIN E WIECZOREK LMSW 1205893815
MICHAEL R RINKER LMSW 1245282425
MRS. AGATHA VANHAREN MSW 1609802024
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.