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Individual

MRS. MARTHA JANE BALK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
321 S BEECHTREE ST, GRAND HAVEN, MI 49417-2003
(616) 846-5880
(616) 846-6052
Mailing address
321 S BEECHTREE ST, GRAND HAVEN, MI 49417-2003
(616) 846-5880
(616) 846-6052

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401006488
MI

Other

Enumeration date
06/24/2008
Last updated
06/24/2008
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