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Organization
LIVING WELL WM COUNSELING
Active
Organization
LIVING WELL WM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA KESKITALO LMSW (OWNER, CLINICAL SOCIAL WORKER)
(616) 690-2159
Entity
Organization
Contact information
Practice address
3672 CHICAGO DR STE A, HUDSONVILLE, MI 49426-2602
(616) 690-2159
Mailing address
3672 CHICAGO DR STE A, HUDSONVILLE, MI 49426-2602
(616) 690-2159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801087390
MI
Other
Enumeration date
02/11/2017
Last updated
02/11/2017
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