Most Relevant Information
Provider Data
| NPI Number: | 1003522434 |
| Provider Name: | JAMIE MARIE HENSON BSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/30/2023 |
| Last Updated: | 01/30/2023 |
Provider Practice Location
1115 BALL AVE NE
GRAND RAPIDS
MI
495055904
Practice Location Phone/Fax
| Phone: | 6162401990 |
| Fax: |
Provider Mailing Location
1115 BALL AVE NE
GRAND RAPIDS
MI
495055904
Provider Mailing Phone/Fax
| Phone: | 6162401990 |
| Fax: |