Individual
NATALIE JUDY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE BLDG A, GRAND RAPIDS, MI 49505-5904
(616) 456-7775
Mailing address
10897 48TH AVE UNIT J4, ALLENDALE, MI 49401-8162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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