Individual
JESI NICOLE SORTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
238 HOOVER BLVD STE 10, HOLLAND, MI 49423-3755
(616) 591-9000
Mailing address
2699 KENNEDY CT, HUDSONVILLE, MI 49426-1814
(616) 320-2010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009820
MI
Other
Enumeration date
09/12/2023
Last updated
03/25/2024
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