D a Blodgett-St Johns
D a Blodgett-St Johns is a Clinical Social Worker in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
Practice location Address checks out
2172 Dean Lake Ave NEGrand Rapids, MI 49505-4444
Phone: (616) 451-2021
Fax: (616) 774-3842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence CB410201088 (MI) |
|---|
Record details
| NPI number | 1801929435 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tammy Smith — Director Of Finance · (616) 451-2021 |
| Other names | D.A. Blodgett For Children; D.A. Blodgett For Children |
| NPI enumerated | March 13, 2007 |
| Last updated in NPPES | April 26, 2023 |
| Certification date | April 26, 2023 |
| Mailing address | 2172 Dean Lake Ave Ne, Grand Rapids, MI 49505-4444 |
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