DEBRA WADE MAHONEY

GRAND RAPIDS, MI
NPI1861004483
Former NameDEBRA WADE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-08-17
Last Update Date2020-08-17
Business Address
DEBRA WADE MAHONEY
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Phone number: 616-247-3815
Mailing Address
DEBRA WADE MAHONEY
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Phone number: 616-247-3815