Individual
ALYSSA NADINE VAN FOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
812 E JOLLY RD STE 311, LANSING, MI 48910-6825
(517) 346-8275
(517) 346-8291
Mailing address
812 E JOLLY RD STE 311, LANSING, MI 48910-6825
(517) 346-8275
(517) 346-8291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801103333
MI
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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