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Organization
THIRD AGE COUNSELING LLC
Active
Organization
THIRD AGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL A CORCORAN LMSW (PRINCIPAL)
(616) 490-9118
Entity
Organization
Contact information
Practice address
2020 RAYBROOK ST SE STE 203, GRAND RAPIDS, MI 49546-7717
(616) 490-9118
Mailing address
2020 RAYBROOK ST SE STE 203, GRAND RAPIDS, MI 49546-7717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/12/2018
Last updated
05/21/2019
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