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MARY D KRUITHOFF LLP

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1518277532

Individual Registrant:
 MARY D KRUITHOFF LLP
Gender: F
Sole Proprietor

Location and contact information for practice:
100 W MAIN ST  MARION, MI 49665-9239 US
Tel: 231-743-0150  Fax: --

Contact information for business:
PO BOX 84  EVART, MI 49631-0084 US
Tel: 231-629-6393  Fax: --

Registration Information:
NPI: 1518277532
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
MI6401011846
Y103TC1900XBehavioral Health & Social Service Providers
Psychologist
MI6301014054

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MI - Page 1



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