Individual
MR. JACOB ZANDSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 451-3001
Mailing address
3734 BAYOU PL, HOLT, MI 48842-9753
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/22/2015
Last updated
02/22/2015
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