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Individual

ANGIE L NELSON-GATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
25 CENTENNIAL AVE NW, GRAND RAPIDS, MI 49504-5921
(612) 251-7551
Mailing address
25 CENTENNIAL AVE NW, GRAND RAPIDS, MI 49504
(612) 251-7551

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1685
MN
106H00000X
Marriage & Family Therapist
Primary
4101006919
MI

Other

Enumeration date
05/13/2020
Last updated
05/13/2020
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