Individual
CONNIE SARGUNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
5242 PLAINFIELD AVE NE STE A, GRAND RAPIDS, MI 49525-1084
(616) 363-2200
Mailing address
5242 PLAINFIELD AVE NE STE A, GRAND RAPIDS, MI 49525-1084
(616) 363-2200
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301016618
MI
Other
Enumeration date
09/08/2016
Last updated
11/30/2018
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