Individual
JILIAN SANTANDER RAKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10525 EDGERTON AVE NE, ROCKFORD, MI 49341-9120
(616) 340-9881
Mailing address
10525 EDGERTON AVE NE, ROCKFORD, MI 49341-9120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
640106424
MI
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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