Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eugene Martin Koon, LBSW

Individual provider Social Worker · NPI 1386910826

Eugene Martin Koon, LBSW is a Social Worker in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
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Practice location Address checks out

201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513
Phone: (616) 965-8200
Fax: (616) 242-6057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6802084210 (MI)

Record details

NPI number1386910826
Entity typeIndividual (Type 1)
GenderMale
Credentials LBSW
Sole proprietorYes
NPI enumeratedMarch 29, 2012
Last updated in NPPESMarch 29, 2012

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