Individual
MICHELLE EDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
625 KENMOOR AVE SE, GRAND RAPIDS, MI 49546-2395
(616) 805-3660
Mailing address
2016 ENGLESIDE DR SE, GRAND RAPIDS, MI 49546-6223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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