Individual
MRS. SUSAN LEE ALDERINK-HULST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
3178 68TH ST SE, SUITE C, CALEDONIA, MI 49316-7535
(616) 803-0643
Mailing address
3178 68TH ST SE, SUITE C, CALEDONIA, MI 49316-7535
(616) 803-0643
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013813
MI
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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