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Organization
GEORGIANNA POULOS LMSW LLC
Active
Organization
GEORGIANNA POULOS LMSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIANNA POULOS LMSW (PSYCHOTHERAPIST)
(734) 807-0207
Entity
Organization
Contact information
Practice address
800 MONROE AVE NW STE 214, GRAND RAPIDS, MI 49503-1449
(734) 807-0207
Mailing address
800 MONROE AVE NW STE 214, GRAND RAPIDS, MI 49503-1449
(734) 807-0207
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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