Individual
SHAUNENE VAN BUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1870 LEONARD NE, GRAND RAPIDS, MI 49505
(616) 956-1122
(616) 956-8033
Mailing address
PO BOX 30516, DEPT 6001A, LANSING, MI 48909-8016
(616) 235-2090
(616) 235-2099
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010537
MI
Other
Enumeration date
04/04/2006
Last updated
01/09/2008
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