Shaun Patrick Thomas Weldon
Social Worker in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1972995488
StatusActive
Last updated in NPPESFeb 21, 2015
Details
- NPI
- 1972995488
- Entity type
- Individual (NPI-1)
- Name
- Shaun Patrick Thomas Weldon
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 21, 2015
- Last updated
- Feb 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
1115 Ball Ave NeGrand Rapids, MI 49505-5904
Phone 517-420-8984
Mailing address
1115 Ball Ave NeGrand Rapids, MI 49505-5904
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