Provider Demographics
NPI:1407885130
Name:ENGLER, MIRIAM EVELYN (CSW)
Entity Type:Individual
Prefix:MRS
First Name:MIRIAM
Middle Name:EVELYN
Last Name:ENGLER
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4519 CASCADE RD SE
Mailing Address - Street 2:SUIITE 3
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-3666
Mailing Address - Country:US
Mailing Address - Phone:616-308-3940
Mailing Address - Fax:
Practice Address - Street 1:4519 CASCADE RD SE. STE 3
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546
Practice Address - Country:US
Practice Address - Phone:616-308-3940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801058792170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS