Individual
STEPHANIE HELEN HORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
801 BROADWAY AVE NW, SUITE 443, GRAND RAPIDS, MI 49504-4462
(616) 942-2327
Mailing address
801 BROADWAY AVE NW, SUITE 443, GRAND RAPIDS, MI 49504-4462
(616) 942-2327
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012128
MI
Other
Enumeration date
11/06/2006
Last updated
04/17/2013
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