Individual
DEBRA WADE MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1939 S DIVISION AVE., GRAND RAPIDS, MI 49507
(616) 247-3815
Mailing address
1939 S DIVISION AVE., GRAND RAPIDS, MI 49507
(616) 247-3815
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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