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NPI Code Detail

MEDICARE: JUNA KAY KILLION LMSW

MEDICARE:   JUNA KAY KILLION  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801110695MI

General Provider Information

NPI Number : 1356705271
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNA KAY KILLION LMSW
Provider Business Mailing Address
First Line : 4829 E BELTLINE AVE NE STE 302
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49525-9350
Country : US
Telephone Number : 616-226-6522
Fax Number : 616-608-6751
Provider Business Practice Location Address
First Line : 4829 E BELTLINE AVE NE STE 302
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49525-9350
Country : US
Telephone Number : 616-226-6522
Fax Number : 616-608-6751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2016
Last Update Date : 10/04/2022

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Directions to “ JUNA KAY KILLION LMSW” Practice Location

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