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40 Pearl St Nw Ste 341 Grand Rapids MI 49503-3028 | |
| (847) 668-4097 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 40 Pearl St Nw Ste 341, Grand Rapids, Michigan |
| Authorized Official Name and Position | Corinne Maria Foster (OWNER) |
| Authorized Official Contact | 8476684097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
40 Pearl St Nw Ste 341 Grand Rapids MI 49503-3028 Ph: (847) 668-4097 | 40 Pearl St Nw Ste 341 Grand Rapids MI 49503-3028 Ph: (847) 668-4097 |
| NPI Number | 1972069771 |
|---|---|
| Provider Enumeration Date | 02/17/2019 |
| Last Update Date | 03/09/2022 |
| Certification Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972069771 | NPI | - | NPPES |
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