Individual
ALYSSA KOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
325 84TH ST SW STE 103, BYRON CENTER, MI 49315-9350
(616) 805-3660
Mailing address
4494 2ND ST, CALEDONIA, MI 49316-9222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801094254
MI
1041C0700X
Clinical Social Worker
Primary
6801094254
MI
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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