Individual
DONNA ANDRESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-7027
Mailing address
5943 STADIUM DR, STE 4, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801017214
MI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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