Individual
MRS. DILLENE JOANNA VAN BEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3351 36TH ST SE, GRAND RAPIDS, MI 49512-2809
(616) 831-5669
Mailing address
3351 36TH ST SE, GRAND RAPIDS, MI 49512-2809
(616) 831-5669
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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