Individual
KATHRIN UDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 258-7510
(616) 222-4574
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 258-7510
(616) 222-4574
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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