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Individual

BRENDA KAY MAGIERKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1530 NICHOLS RD, KALAMAZOO, MI 49006-2065
(269) 343-6700
(269) 343-4831
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5960

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401006968
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401006968
LPC
MI
Enumeration date
04/12/2007
Last updated
08/03/2022
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