Individual
KARLI JO VANRYSWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 LAURENCE AVE STE E, JACKSON, MI 49202-2980
(517) 750-4777
Mailing address
1001 LAURENCE AVE STE E, JACKSON, MI 49202-2980
(517) 750-4777
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
7402000156
MI
235Z00000X
Speech-Language Pathologist
Primary
7101008906
MI
Other
Enumeration date
05/10/2019
Last updated
05/09/2025
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