RICHARD THEILER HOLMSTROM

IRON MOUNTAIN, MI
NPI1114400298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801092231)
Enumeration Date2018-09-13
Last Update Date2018-09-13
Business Address
RICHARD THEILER HOLMSTROM LMSW
325 E H ST
IRON MOUNTAIN, MI 49801-4760
Phone number: 906-774-3300
Mailing Address
RICHARD THEILER HOLMSTROM LMSW
325 E H ST
IRON MOUNTAIN, MI 49801-4760
Phone number: 906-774-3300