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Individual

MARCY SOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
TLLP

Contact information

Practice address
360 E BELTLINE AVE NE, GRAND RAPIDS, MI 49506-1214
(616) 805-3660
Mailing address
360 E BELTLINE AVE NE, GRAND RAPIDS, MI 49506-1214
(616) 805-3660

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009470
MI

Other

Enumeration date
01/24/2022
Last updated
01/24/2022
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