Individual
MR. TERRY LEE WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW (MACRO)
Contact information
Practice address
277 NORTH ST, ALLEGAN, MI 49010-1138
(269) 673-5092
(269) 686-4601
Mailing address
1629 PHILADELPHIA AVE SE, GRAND RAPIDS, MI 49507-2251
(616) 241-1736
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6801086799
MI
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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