Individual
KAYLEY LAFONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 44TH ST SW, SUITE 103, WYOMING, MI 49509
(616) 890-6186
Mailing address
3227 HUNTINGTON WOOD DR SE, APT H, KENTWOOD, MI 49512
(616) 890-6186
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301016539
MI
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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