Booker, Marilyn

Booker, Marilyn is an sole proprietor health care provider with primary practice located at 4920 Plainfield Ave Ne Ste 5 , Grand Rapids MI 49525-1010. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Booker, Marilyn can be contacted via phone (616) 460-6448.

Contact Information

Primary practice address
4920 Plainfield Ave Ne Ste 5 Grand Rapids MI 49525-1010
Phone: (616) 460-6448
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 640101436 Michigan
Behavioral Health & Social Service Providers / School 101YS0200X SC0000000793839 Michigan

Profile Details

NPI number 1194193953
LBN Legal business name Booker, Marilyn
Credentials MA, LSC, LLPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2015
Last updated Sep 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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