Katie Hickok Mannebach's National Provider Identifier (NPI) Details
Katie Hickok Mannebach, LMSW
NPI: 1245724020
Enumeration Date: 2018-06-15
Last updated: 2023-06-22
Sole Proprietor: NO
Status: active
Postal Address: 300 68TH ST SE, GRAND RAPIDS, MI
Phone: 269-330-4963
Primary Practice Address: 75 DIAMOND AVE NE, GRAND RAPIDS, MI
Practice's phone: 269-330-4963