Individual
MRS. SANDRA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
3241 WOODBERRY DR SE, GRAND RAPIDS, MI 49512-3025
(248) 318-2733
Mailing address
3241 WOODBERRY DR SE, GRAND RAPIDS, MI 49512-3025
(248) 318-2733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012176
MI
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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