Individual
WILSON SOLIZ-QUIROGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 S DIVISION ST, HESPERIA, MI 49421-9004
(616) 286-1548
Mailing address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801106548
MI
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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