Lori Wilder LLC
NPI #1003366238 in Grand Haven, Michigan
Provider Information
- NPI Number
- 1003366238
- Entity Type
- Organization
- Organization Name
- Lori Wilder LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Oct 12, 2016
- Last Updated
- Oct 12, 2016
Practice Location
- Address
- 41 WASHINGTON AVE STE 384
- City
- Grand Haven
- State
- Michigan
- ZIP Code
- 49417-3311
- Phone
- (616) 402-4262
Authorized Official
- Name
- MRS. LORI WILDER, LPC
- Title
- OWNER
- Phone
- (616) 402-4262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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