Individual
IRIS DENISSE TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 28TH ST SW, WYOMING, MI 49509-2937
(616) 217-3778
Mailing address
545 28TH ST SW, WYOMING, MI 49509-2937
(616) 217-3778
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401019008
MI
Other
Enumeration date
01/11/2021
Last updated
12/04/2023
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