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Individual

MRS. NICOLE RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LLPC

Contact information

Practice address
678 FRONT AVE NW STE 100, GRAND RAPIDS, MI 49504-5323
(616) 916-3711
Mailing address
10875 DOUGLAS DR, ALLENDALE, MI 49401-7406
(773) 951-5243

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023916
MI

Other

Enumeration date
09/25/2024
Last updated
09/25/2024
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