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Individual

SOPHIA CYNTHIA HERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2100
Mailing address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2100

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014058
MI
106H00000X
Marriage & Family Therapist
4101006602
MI

Other

Enumeration date
01/30/2014
Last updated
01/30/2014
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