Ethan Pemberton
Ethan Pemberton is a Clinical Social Worker in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2020
Practice location Address checks out
206 Fuller Ave SEGrand Rapids, MI 49506-1638
Phone: (810) 347-2159
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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 (MI) |
|---|
Record details
| NPI number | 1306486204 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 9, 2020 |
| Last updated in NPPES | June 12, 2026 |
| Certification date | June 12, 2026 |
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