Individual
BONNI GEMMELL AKALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LMSW
Contact information
Practice address
632 DUXBURY CT SE, ADA, MI 49301-7805
(616) 676-9164
Mailing address
632 DUXBURY CT SE, ADA, MI 49301-7805
(616) 676-9164
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
63610003166
MI
1041C0700X
Clinical Social Worker
Primary
6801014804
MI
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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