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Individual

DR. MIRIAM GOLDSTEIN LORRAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1514 WEALTHY ST SE STE 290, GRAND RAPIDS, MI 49506-2755
(734) 274-9016
Mailing address
1514 WEALTHY ST SE STE 290, GRAND RAPIDS, MI 49506-2755
(734) 274-9016

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018948
MI

Other

Enumeration date
04/11/2019
Last updated
03/15/2025
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