Individual
KARISSA LIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503-2560
(616) 391-3570
Mailing address
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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