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Organization

RACHAEL KOESON, MSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHAEL KOESON LLMSW (THERAPIST)
(616) 818-8628
Entity
Organization

Contact information

Practice address
1422 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2717
(616) 818-8628
Mailing address
1761 BALL AVE NE, GRAND RAPIDS, MI 49505-5697
(616) 818-8628

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
07/26/2023
Last updated
07/26/2023
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