Individual
BRIAN KAMSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, QIDP
Contact information
Practice address
805 LEONARD ST NE, GRAND RAPIDS, MI 49503
(616) 451-2021
Mailing address
805 LEONARD ST NE, GRAND RAPIDS, MI 49503
(616) 451-2021
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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