Individual
EMILY TERESA SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
260 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4597
(616) 336-3903
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(517) 489-0489
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
05/10/2025
Last updated
05/10/2025
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