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Individual

KATHY MAY PALKA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MA, LLP

Contact information

Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012159
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P10D112750
BC/BS
MA
Enumeration date
06/21/2006
Last updated
07/08/2007
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