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Nicholas Bottomley

Social Worker, Clinical in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1508231069
StatusActive
Last updated in NPPESDec 9, 2015

Details

NPI
1508231069
Entity type
Individual (NPI-1)
Name
Nicholas Bottomley
Sex
Male
Sole proprietor
No
Enumeration date
Dec 9, 2015
Last updated
Dec 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801089695MIYes

Practice location

1501 Cedar St Ne
Grand Rapids, MI 49503-1300

Phone 616-632-5822

Mailing address

1501 Cedar St Ne
Grand Rapids, MI 49503-1300

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