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Individual

LESLEY ANN HETTERSCHEIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
550 3 MILE RD NW, GRAND RAPIDS, MI 49544-8207
(616) 222-3720
(616) 222-3724
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014943
MI

Other

Enumeration date
06/04/2010
Last updated
12/28/2012
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