Individual
MARY D AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLC
Contact information
Practice address
4250 CHICAGO DR SW STE B, GRANDVILLE, MI 49418-1506
(269) 419-2392
Mailing address
804 OAKLAWN ST NE, GRAND RAPIDS, MI 49505-3748
(269) 419-2392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023268
MI
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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