Individual
MARY LOUISE WAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 W LAKE LANSING RD STE 500, EAST LANSING, MI 48823-8534
(517) 215-6004
Mailing address
707 W KALAMAZOO ST APT 3, LANSING, MI 48915-1670
(517) 215-6004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451016766
MI
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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