Individual
MS. ANN WIERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
26711 WOODWARD AVE STE 301, HUNTINGTON WOODS, MI 48070-1369
(248) 760-8873
Mailing address
27980 GREENING ST, FARMINGTON HILLS, MI 48334-3715
(248) 760-8873
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
6361006596
MI
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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