Individual
LARRY G WEST II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS, CPRC
Contact information
Practice address
1685 BALDWIN AVE STE 100, PONTIAC, MI 48340-1242
(248) 706-3450
Mailing address
117 UNIVERSITY PLACE DR, PONTIAC, MI 48342-1890
(269) 589-2869
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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