Individual
JULIE SCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 DEL MAR DR SW, WYOMING, MI 49418-8870
(616) 377-2283
Mailing address
4050 DEL MAR DR SW, WYOMING, MI 49418-8870
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451022697
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6451022697
LARA LLC LICENSURE
MI
Enumeration date
01/12/2023
Last updated
01/12/2023
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