Individual
ALYSSON ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16760 LINCOLN ST, GRAND HAVEN, MI 49417-8864
(616) 317-6272
Mailing address
16760 LINCOLN ST, GRAND HAVEN, MI 49417-8864
(616) 317-2672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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