Most Relevant Information
Provider Data
| NPI Number: | 1003207911 |
| Provider Name: | HILARY CONSIGLIO LLMSW QIDP |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 6801095697 |
Most Important Dates
| Enumeration Date: | 02/13/2015 |
| Last Updated: | 02/13/2015 |
Provider Practice Location
805 LEONARD ST NE
GRAND RAPIDS
MI
495031138
Practice Location Phone/Fax
| Phone: | 6162845879 |
| Fax: |
Provider Mailing Location
805 LEONARD ST NE
GRAND RAPIDS
MI
495031138
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |