Most Relevant Information
Provider Data
| NPI Number: | 1003490111 |
| Provider Name: | DIANA DUARTE-MENENDEZ MSW 6851109554 |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801109554 |
Most Important Dates
| Enumeration Date: | 05/06/2021 |
| Last Updated: | 08/03/2021 |
Provider Practice Location
790 FULLER AVE NE
GRAND RAPIDS
MI
495031918
Practice Location Phone/Fax
| Phone: | 6163363909 |
| Fax: |
Provider Mailing Location
11608 WAVERLY MDW
HOLLAND
MI
494249355
Provider Mailing Phone/Fax
| Phone: | 6167965988 |
| Fax: |