Organization
GOODWILL INDUSTRIES OF WEST MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE D. LARSON MA, LLPC (VOCATIONAL REHABILITATIONAL MANAGER)
(231) 722-7871
Entity
Organization
Contact information
Practice address
271 E. APPLE AVENUE, MUSKEGON, MI 49442-3408
(231) 722-7871
(231) 728-6408
Mailing address
271 E APPLE AVE, MUSKEGON, MI 49442-3408
(231) 722-7871
(231) 728-6408
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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