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:
Health care specialties
| Specialty | Code | License # | 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 11 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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