Organization
GOODWILL INDUSTRIES OF WEST MICHIGAN
Active
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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