Individual
KIRI DEYOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
878 GRANDVILLE AVE SW APT 4, GRAND RAPIDS, MI 49503-4985
(616) 706-6334
Mailing address
878 GRANDVILLE AVE SW APT 4, GRAND RAPIDS, MI 49503-4985
(616) 706-6334
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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