Individual
MARILYN DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5005 PLAINFIELD AVE NE STE 100, GRAND RAPIDS, MI 49525
(616) 279-3869
(616) 608-4657
Mailing address
5005 PLAINFIELD AVE NE STE 100, GRAND RAPIDS, MI 49525
(616) 279-3869
(616) 608-4657
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401000980
MI
Other
Enumeration date
04/18/2013
Last updated
04/28/2020
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