Organization
W & D LAVALLEY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JAY LAVALLEY LMSW (PRESIDENT)
(269) 744-5293
Entity
Organization
Contact information
Practice address
914 S WESTNEDGE AVE # 2, KALAMAZOO, MI 49008-1110
(269) 744-5293
(269) 382-0064
Mailing address
914 S WESTNEDGE AVE # 2, KALAMAZOO, MI 49008-1110
(269) 744-5293
(269) 382-0064
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32186
—
MI
01
—
7351
KCMHS
MI
Enumeration date
02/25/2007
Last updated
08/22/2020
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