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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYANN MICHELLE LAVENDER

Active Sole Proprietor

MARYANN MICHELLE LAVENDER is a Foster Care Agency healthcare provider located in KALAMAZOO, Michigan. NPI 1609474576 is currently active in the NPPES registry. Verify at CMS.

Foster Care Agency · KALAMAZOO, MI

Registration Details

NPI Number
1609474576
Provider Type
Individual
Gender
Female
NPI Issued
Oct 13, 2020 (5.860959950843 yrs)
Last Updated
Oct 13, 2020
License
AS390400275 (MI)
Sole Proprietor
Yes

Practice Information

Address
5633 EMBASSY ST
KALAMAZOO, MI, 490096499
Browse MI providers · Browse ZIP 49009
Phone
2693413195
Primary Specialty
Foster Care Agency
253J00000X

Other Foster Care Agency Providers in KALAMAZOO, MI

Name Credential NPI
TESIA M JONES 1255119533
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.