Individual
MR. TIMOTHY GIBSON DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6140 28TH ST SE STE 105, GRAND RAPIDS, MI 49546-6938
(616) 227-0585
Mailing address
1824 SHERWOOD DR SE, GRAND RAPIDS, MI 49506-5055
(469) 323-3266
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101007401
MI
Other
Enumeration date
05/13/2016
Last updated
10/20/2023
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