Individual
DR. LAURA WYGLINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
5250 NORTHLAND DR NE STE A, GRAND RAPIDS, MI 49525-1096
(616) 361-2166
(616) 361-2166
Mailing address
4031 WOODLAND CREEK DR SE APT 303, KENTWOOD, MI 49512-8329
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015473
MI
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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