Organization
LAINA WIRGAU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAINA WIRGAU LLMSW (THERAPIST)
(616) 558-5531
Entity
Organization
Contact information
Practice address
6157 WOODFIELD PL SE APT 9, GRAND RAPIDS, MI 49548-8585
(616) 558-5531
Mailing address
1115 BALL AVE NE BLDG A, GRAND RAPIDS, MI 49505-5904
(616) 558-5531
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
680194489
MI
Other
Enumeration date
04/10/2013
Last updated
04/26/2013
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