Individual
BARBARA ANITA DOORLAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
1703 S DESPELDER ST, GRAND HAVEN, MI 49417-2649
(616) 581-8537
Mailing address
1063 KENEBERRY WAY SE, GRAND RAPIDS, MI 49506-3511
(616) 581-8537
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301012955
MI
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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