Individual
DENISE RADAKOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 392-1873
Mailing address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 392-1873
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301010334
MI
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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