Individual
ANDREA GUMBKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3403 MICHIGAN ST NE, GRAND RAPIDS, MI 49525-3408
(616) 350-8924
Mailing address
3403 MICHIGAN ST NE, GRAND RAPIDS, MI 49525-3408
(616) 350-8924
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
630100935
MI
Other
Enumeration date
06/24/2017
Last updated
07/21/2022
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