Individual
LARRY A WOIDERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC
Contact information
Practice address
1314 GLEN RD, MIDLAND, MI 48640-5043
(989) 832-7434
Mailing address
1314 GLEN RD, MIDLAND, MI 48640-5043
(989) 832-7434
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401000205
MI
Other
Enumeration date
01/24/2007
Last updated
08/07/2009
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