Kaylie Rae Feenstra
Social Worker, Clinical in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1699355487
StatusActive
Last updated in NPPESMar 30, 2022
Details
- NPI
- 1699355487
- Entity type
- Individual (NPI-1)
- Name
- Kaylie Rae Feenstra
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2021
- Certification date
- Mar 30, 2022
- Last updated
- Mar 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
825 Leonard St NeGrand Rapids, MI 49503-1177
Phone 616-301-8000
Mailing address
825 Leonard St NeGrand Rapids, MI 49503-1177
Phone 616-301-8000
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