LISA MARIE BOOMERS

GRAND RAPIDS, MI
NPI1477900819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  6401017408)
Enumeration Date2016-05-16
Last Update Date2020-04-02
Business Address
Miss LISA MARIE BOOMERS LLPC
1215 FULTON ST E
GRAND RAPIDS, MI 49503-3849
Phone number: 616-742-0351
Mailing Address
Miss LISA MARIE BOOMERS LLPC
1800 W MAIN ST LOT 56
LOWELL, MI 49331-1547
Phone number: 616-901-0401
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