Individual
GLORIA J WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1514 WEALTHY STREET SE, SUITE 260, GRAND RAPIDS, MI 49506
(616) 451-3008
Mailing address
4305 KENTRIDGE SE, GRAND RAPIDS, MI 49508
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012860
MI
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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