Individual
LAUREN BOMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
9844 DIXIE HWY, IRA, MI 48023-2813
(586) 716-7600
Mailing address
9844 DIXIE HWY, IRA, MI 48023-2813
(586) 716-7600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451024930
MI
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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