Individual
LAUREN WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
(616) 774-2044
Mailing address
12788 MANDALAY CIR, UTICA, MI 48315-6839
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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