Devi Fongers

NPI #1053852103 in Grand Rapids, Michigan

Provider Information

NPI Number: 1053852103
Entity Type: Organization
Organization Name: Devi Fongers
Primary Specialty: Social Worker
Enumeration Date: Mar 9, 2017
Last Updated: Mar 9, 2017

Practice Location

Address: 1220 OAKLEIGH RD NW
Address 2: STE 2
City: Grand Rapids
State: Michigan
ZIP Code: 49504-2548
Phone: (616) 262-1462

Authorized Official

Name: DEVI LYNN FONGERS
Title: OWNER/LMSW
Phone: (616) 262-1462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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