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Individual

ANGELA MARIE GRUTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LLPC

Contact information

Practice address
401 HALL ST SW STE 185E, GRAND RAPIDS, MI 49503-5098
(616) 805-9130
Mailing address
5777 ARROYO VISTA DR NE, ROCKFORD, MI 49341-9454
(616) 520-3364

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023257
MI

Other

Enumeration date
09/18/2023
Last updated
09/18/2023
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