Individual
HOLLY DEVIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLMSW
Contact information
Practice address
5092 N MORGAN LN SE, CALEDONIA, MI 49316-7105
(616) 516-5360
Mailing address
5092 N MORGAN LN SE, CALEDONIA, MI 49316-7105
(616) 516-5360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851114547
MI
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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