Individual
MS. HALEE JORDAN GRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
6250 MEMORIAL HWY, OTTAWA LAKE, MI 49267-5902
(419) 704-5675
Mailing address
6250 MEMORIAL HWY, OTTAWA LAKE, MI 49267-5902
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007980
MI
103TC1900X
Counseling Psychologist
6301018383
MI
Other
Enumeration date
07/13/2020
Last updated
03/22/2024
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