Provider Demographics
NPI:1902418338
Name:SALADIN-YONOVITZ, CAMI RAE (LLMSW)
Entity Type:Individual
Prefix:MRS
First Name:CAMI
Middle Name:RAE
Last Name:SALADIN-YONOVITZ
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:MS
Other - First Name:CAMI
Other - Middle Name:RAE
Other - Last Name:SALADIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4150 KALAMAZOO AVE SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-3605
Mailing Address - Country:US
Mailing Address - Phone:616-913-2023
Mailing Address - Fax:
Practice Address - Street 1:4150 KALAMAZOO AVE SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508-3605
Practice Address - Country:US
Practice Address - Phone:616-913-2023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011024701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical