Individual
HILLARI MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, TLLP
Contact information
Practice address
321 FULTON ST, GRAND HAVEN, MI 49417-1231
(616) 842-4772
Mailing address
321 FULTON ST, GRAND HAVEN, MI 49417-1231
(616) 842-4772
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015243
MI
Other
Enumeration date
02/23/2012
Last updated
06/11/2014
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