Individual
MR. ROGER ALLEN DEKUIPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP & LMSW
Contact information
Practice address
4761 66TH ST, HOLLAND, MI 49423-8932
(616) 335-3065
Mailing address
4761 66TH ST, HOLLAND, MI 49423-8932
(616) 335-3065
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301002646
MI
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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