Haraburda, Charlene Marie
Haraburda, Charlene Marie is an individual health care provider with primary practice located at 243 68Th St Se , Grand Rapids MI 49548-6924. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Haraburda, Charlene Marie can be contacted via phone (616) 222-5180.Contact Information
Primary practice address
243 68Th St Se
Grand Rapids MI 49548-6924
Phone: (616) 222-5180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301010951 | Michigan |
Profile Details
| NPI number | 1104861483 |
|---|---|
| LBN Legal business name | Haraburda, Charlene Marie |
| Credentials | MA, LLP, RSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104861483 | NPPES |
| Massachusetts | Other | P10D112750 | BC/BS |
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