Individual
EMMA MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4867 E BELTLINE AVE NE, BUILDING 1, STE 400, GRAND RAPIDS, MI 49525
(616) 202-2253
Mailing address
6905 FOREST VALLEY DRIVE SE, GRAND RAPIDS, MI 49546
(708) 334-9582
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451024466
MI
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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