Individual
TIARA FOSTER HOLMGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 773-2908
Mailing address
2140 FINSBURY LN NW, GRAND RAPIDS, MI 49504-4701
(616) 460-7153
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
01/04/2024
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