Individual
MR. RICHARD LYLE CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4031 W MAIN ST, SUITE 400, KALAMAZOO, MI 49006-3730
(269) 760-6265
Mailing address
4300 LONDONDERRY AVE, KALAMAZOO, MI 49006-2758
(269) 760-6265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401000376
MI
1041C0700X
Clinical Social Worker
6801058133
MI
Other
Enumeration date
01/08/2007
Last updated
03/11/2009
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