Individual
LAURA MARLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
519 S PARK ST, KALAMAZOO, MI 49007-5117
(269) 903-0525
Mailing address
519 S PARK ST, KALAMAZOO, MI 49007-5117
(269) 903-0525
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
6301013870
MI
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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