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MARY D KRUITHOFF LLP
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1518277532
Individual Registrant: MARY D KRUITHOFF LLP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
100 W MAIN ST MARION, MI 49665-9239 US
Tel: 231-743-0150 Fax: --
Tel: 231-743-0150 Fax: --
Contact information for business:
PO BOX 84 EVART, MI 49631-0084 US
Tel: 231-629-6393 Fax: --
Tel: 231-629-6393 Fax: --
Registration Information:
NPI: 1518277532
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | MI | 6401011846 |
| Y | 103TC1900X | Behavioral Health & Social Service Providers Psychologist | MI | 6301014054 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
