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Individual

ISRAEL URIAS LEE OSTRANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D-TLLP

Contact information

Practice address
6810 OLD 28TH ST SE STE 4, GRAND RAPIDS, MI 49546-6932
(616) 264-5414
Mailing address
940 WISCONSIN AVE # 1, SAINT JOSEPH, MI 49085-1538
(231) 408-0526

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6352001140
MI

Other

Enumeration date
07/16/2021
Last updated
06/10/2025
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