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Organization

LIVING WATERS COUNSELING

Active
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Organization

LIVING WATERS COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VICTOR MANZON LMSW (OWNER)
(269) 348-0956
Entity
Organization

Contact information

Practice address
5955 W MAIN ST, KALAMAZOO, MI 49009-8700
(269) 348-0956
(269) 353-3132
Mailing address
PO BOX 2588, PORTAGE, MI 49081-2588
(269) 492-3801
(269) 373-4720

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
6301009199
MI
104100000X
Social Worker
Primary
6801059772
MI

Other

Enumeration date
11/22/2011
Last updated
03/06/2015
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