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General NPI Number Information
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NPI Number | 1447636899
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Entity Type | Organization
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Legal Business Name | MELANIE HOGETERP LMSW
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Dates
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Enumeration Date | 08/08/2015
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 2020 RAYBROOK SE SUITE 102-6
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City | GRAND RAPIDS
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State | MI
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Zip | 49546
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Country | US
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Telephone | 616-644-9024
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Fax | 616-949-9115
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Provider Business Mailing Address
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Address Line | 1623 ROSEWOOD AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49506
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Country | US
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Telephone | 616-644-9024
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. MELANIE ANNE HOGETERP
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Credential | LMSW
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Telephone | 616-644-9024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801090078
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License Number State | MI
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