Individual
AUTUMN LABARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 MONROE AVE NW STE 140, GRAND RAPIDS, MI 49505-4609
(630) 484-5081
Mailing address
470 MARKET AVE SW APT 184, GRAND RAPIDS, MI 49503-5173
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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