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Individual

LARRY JAMES ALDERINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA LLP

Contact information

Practice address
3370 GLADE ST, MUSKEGON, MI 49444-2778
(231) 737-1213
(231) 737-1218
Mailing address
13961 148TH AVE, GRAND HAVEN, MI 49417
(616) 842-3179
(231) 737-1218

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007613
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5688680
FIRST HEALTH
MI
01
PI08975940
BLUE CARE NETWORK
MI
Enumeration date
08/31/2006
Last updated
10/06/2008
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