Individual
KRYSTLE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, BUILDING B, GRAND RAPIDS, MI 49505-5904
(616) 451-3001
Mailing address
2025 PRAIRIE PKWY SW, WYOMING, MI 49519-7021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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