Individual
CASSANDRA DEDOES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
4124 56TH ST SW STE 4, WYOMING, MI 49418-9494
(616) 222-0631
Mailing address
216 WALL ST, ZEELAND, MI 49464-1928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022047
MI
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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