Individual
KRISTEN VAN DE RIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10263 CHICAGO DR, ZEELAND, MI 49464-1416
(616) 422-0922
Mailing address
17464 HIAWATHA DR, SPRING LAKE, MI 49456-9433
(616) 422-0922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006365
MI
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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