Male or Other

Mr. Kyle Williams MSW

Clinical Social Worker in Grand Haven, MI(View on Map)

Full Name

Mr. Kyle Williams MSW

NPI Number

1972752889

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/16/2008

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

6801084481

Contact
Information

Purpose

Mailing
Location

Address

18667 PINECREST LN
17 N 4TH ST STE 211

City

Spring Lake
Grand Haven

State

MI
MI

Postal Code

49456-1136
49417-1267

Country

US
US

Telephone Number

(616) 402-1389
(616) 402-1389

Identifiers

Identifier

0898189

Identifier State

MI

Identifier Issuer

BLUE CROSS BLUE SHIELD OF MICHIGAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/15/2017

Provider Address

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