Individual
OMARI JAMAL LARKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 CLIFFORD AVE SE, GRAND RAPIDS, MI 49546-2360
(616) 942-2722
Mailing address
940 CLIFFORD AVE SE, GRAND RAPIDS, MI 49546-2360
(616) 942-2722
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
225C00000X
MI
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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