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Individual

SERA A GRUSZKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LP

Contact information

Practice address
1400 LEONARD ST NE, GRAND RAPIDS, MI 49505-5515
(616) 325-5144
Mailing address
1400 LEONARD ST NE, GRAND RAPIDS, MI 49505-5515
(616) 325-5144

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301014195
MI
103T00000X
Psychologist
Primary
6301014846
MI

Other

Enumeration date
06/25/2009
Last updated
07/26/2024
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