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Individual

MS. MARY JANE SCHREUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
(616) 356-6285
(616) 732-6392
Mailing address
381 BLUE ISLE DR, HOLLAND, MI 49424-1397
(616) 786-3896
(616) 786-3896

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008621
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7509106890
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/19/2007
Last updated
06/23/2008
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