Individual
MISS CYNTHIA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12265 JAMES ST BLDG A, HOLLAND, MI 49424-8613
(616) 215-4875
Mailing address
12265 JAMES ST BLDG A, HOLLAND, MI 49424-8613
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
247000000X
Health Information Technician
—
—
Other
Enumeration date
06/20/2017
Last updated
01/12/2022
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