Individual
LAURINA VAN SLOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-0061
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6352000852
MI
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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