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Individual

MRS. SALLY L NULPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
500 S 3RD AVE, BIG RAPIDS, MI 49307-9501
(231) 796-5825
(231) 796-2409
Mailing address
14107 RITCHIE, CEDAR SPRINGS, MI 49307
(231) 796-5825

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401006299
MI

Other

Enumeration date
05/17/2013
Last updated
05/17/2013
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