Courtney Vanriper
Social Worker, Clinical in Southgate, MI. Individual provider (NPI-1).
NPI number1124592928
StatusActive
Last updated in NPPESOct 1, 2024
Details
- NPI
- 1124592928
- Entity type
- Individual (NPI-1)
- Name
- Courtney Vanriper
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2019
- Certification date
- Oct 1, 2024
- Last updated
- Oct 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
14799 Dix Toledo RdSouthgate, MI 48195-2507
Phone 734-635-4110
Mailing address
14799 Dix Toledo RdSouthgate, MI 48195-2507
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