Individual
MRS. SANDY TERWILLEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
4845 SNYDER AVE, FREMONT, MI 49412-9502
(231) 924-6920
Mailing address
4845 SNYDER AVE, FREMONT, MI 49412-9502
(231) 924-6920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301009278
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P108976660
BCBSM
MI
Enumeration date
01/12/2007
Last updated
02/01/2012
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