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Organization
PORTAGE LIFE COACHING AND COUNSELING LLP
Active
Organization
PORTAGE LIFE COACHING AND COUNSELING LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD BROOKS (CEO)
(269) 447-8758
Entity
Organization
Contact information
Practice address
10032 SHAVER RD, PORTAGE, MI 49024-6738
(269) 993-9977
Mailing address
10032 SHAVER RD, PORTAGE, MI 49024-6738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
11/27/2023
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