Individual
MARIAH MANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 RAYBROOK ST SE STE 203, GRAND RAPIDS, MI 49546-5783
(616) 956-9440
Mailing address
2100 RAYBROOK ST SE STE 203, GRAND RAPIDS, MI 49546-5783
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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