Individual
KELSEY DEROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11172 ADAMS ST, HOLLAND, MI 49423-9163
(616) 942-2522
Mailing address
8527 88TH AVE, ZEELAND, MI 49464-9472
(616) 953-9516
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
06/15/2023
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