Individual
GRACE MIRZELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 773-2908
Mailing address
1055 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 773-2908
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6362010296
MI
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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