Most Relevant Information
Provider Data
| NPI Number: | 1003245408 |
| Provider Name: | CANDY MCKENNEY |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 6801093104 |
Most Important Dates
| Enumeration Date: | 11/06/2013 |
| Last Updated: | 11/06/2013 |
Provider Practice Location
300 68TH ST SE
GRAND RAPIDS
MI
495486927
Practice Location Phone/Fax
| Phone: | 6164555000 |
| Fax: |
Provider Mailing Location
300 68TH ST SE
GRAND RAPIDS
MI
495486927
Provider Mailing Phone/Fax
| Phone: | 6164555000 |
| Fax: |