Individual
MARCIE M DULLEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MONROE AVE NW STE 202, GRAND RAPIDS, MI 49503-1448
(586) 215-3435
Mailing address
6973 BREWER AVE NE, ROCKFORD, MI 49341-9213
(586) 215-3435
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012719
MI
Other
Enumeration date
12/28/2011
Last updated
01/05/2022
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