Individual
LISA MARIAN GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 W 8TH ST, HOLLAND, MI 49423-2701
(616) 294-8570
Mailing address
262 GOLDENEYE CT, HOLLAND, MI 49424-6077
(616) 552-3571
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006553
MI
Other
Enumeration date
10/02/2008
Last updated
01/08/2018
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