NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1467925222 |   |   |   | 616 COUNSELING PROFESSIONAL CORPORATION | 550 CASCADE WEST PKWY SE | GRAND RAPIDS | MI | 495462137 |
1912196270 | GAUTHIER | SHAWN | L |   | 550 CASCADE WEST PKWY SE | GRAND RAPIDS | MI | 495462137 |
1861127144 | STEIN | DANA | LYNN |   | 550 CASCADE WEST PKWY SE | GRAND RAPIDS | MI | 495462137 |