Individual
CARRIE ANN YSSELDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8136 48TH AVE, HUDSONVILLE, MI 49426-8622
(616) 669-6824
Mailing address
8136 48TH AVE, HUDSONVILLE, MI 49426-8622
(616) 669-6824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
68101098177
MI
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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