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Organization
SHINE THERAPY PLLC
Active
Organization
SHINE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY GALLEGOS (MANGER)
(517) 483-2461
Entity
Organization
Contact information
Practice address
1444 MICHIGAN ST NE STE 7, GRAND RAPIDS, MI 49503-2028
(616) 259-4548
Mailing address
1711 CARLTON AVE NE, GRAND RAPIDS, MI 49505-5439
(231) 590-3297
(517) 323-9531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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