Individual
LAUREN BEACHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 LEONARD ST NE, GRAND RAPIDS, MI 49505-5572
(616) 456-6571
Mailing address
312 DEAN ST NE, GRAND RAPIDS, MI 49505-4735
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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