Organization
REGIONAL PSYCHOLOGY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANOA DIONE PRAAY LLP (PSYCHOLOGIST)
(616) 994-3389
Entity
Organization
Contact information
Practice address
4845 SNYDER AVE, FREMONT, MI 49412-8573
(231) 924-6920
Mailing address
4845 SNYDER AVE, FREMONT, MI 49412-8573
(231) 924-6920
(231) 924-9170
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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