Individual
BROOKE LYNN ANDRUSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 RAYBROOK ST SE STE 203, GRAND RAPIDS, MI 49546-5783
(616) 954-1555
Mailing address
7087 SNOW AVE SE, ALTO, MI 49302-9749
(616) 260-9467
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
6851109900
MI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
06/11/2025
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