Individual
INGRID SPEULSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 LEONARD ST NE, GRAND RAPIDS, MI 49503-1138
(616) 451-2021
Mailing address
805 LEONARD ST NE, GRAND RAPIDS, MI 49503-1138
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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