Organization
ISETHENA PRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY M MCGEE MA LLP (OWNER)
(616) 218-9903
Entity
Organization
Contact information
Practice address
233 FULTON ST E, SUITE 126, GRAND RAPIDS, MI 49503-3200
(616) 218-9903
(616) 459-9059
Mailing address
PO BOX 1767, GRAND RAPIDS, MI 49501-1767
(616) 235-2090
(616) 235-2099
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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