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Organization
LAKESHORE INTEGRATIVE MENTAL HEALTH SERVICES, LLC
Active
Organization
LAKESHORE INTEGRATIVE MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE LYNN BRUURSEMA LMSW, ACSW (OWNER/CLINICAL SOCIAL WORKER)
(231) 799-4850
Entity
Organization
Contact information
Practice address
800 E ELLIS RD, MAIL BOX 577, SUITE 271, NORTON SHORES, MI 49441-5646
(231) 799-4850
(231) 799-4851
Mailing address
800 E ELLIS RD, MAIL BOX 577, SUITE 271, NORTON SHORES, MI 49441-5646
(231) 799-4850
(231) 799-4851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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