Individual
KYLENE KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., D.L.L.P.
Contact information
Practice address
854 WASHINGTON AVE STE 330, HOLLAND, MI 49423-7141
(616) 355-3926
Mailing address
854 WASHINGTON AVE STE 330, HOLLAND, MI 49423-7141
(616) 355-3926
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014350
MI
Other
Enumeration date
04/18/2012
Last updated
10/10/2013
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