Individual
DR. MARIA VIRGINIA MORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3737 LAKE EASTBROOK BLVD. S.E., SUITE 204, GRAND RAPIDS, MI 49546-5906
(616) 299-9964
(616) 678-3635
Mailing address
3737 LAKE EASTBROOK BLVD. S.E., SUITE 204, GRAND RAPIDS, MI 49546-5906
(616) 299-9964
(616) 678-3635
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009231
MI
Other
Enumeration date
06/15/2011
Last updated
12/02/2012
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