Individual
KAYLA WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
648 MONROE AVE NW, GRAND RAPIDS, MI 49503-1452
(616) 916-3711
Mailing address
3356 WEATHERFORD DR NW APT 1B, GRAND RAPIDS, MI 49544-6963
(616) 566-9949
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451019531
MI
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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