Individual
MISS KIRSTEN ANNE VANDERMEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, QIDP
Contact information
Practice address
3310 EAGLE PARK DR NE STE 100, GRAND RAPIDS, MI 49525-4574
(616) 490-3542
(616) 655-1784
Mailing address
3310 EAGLE PARK DR NE STE 100, GRAND RAPIDS, MI 49525-4574
(616) 490-3542
(616) 655-1784
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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