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Individual

ALYSSA BERGSMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1214 N BROADWAY ST, HASTINGS, MI 49058-1237
(616) 481-2463
Mailing address
2333 LONGMEADOW ST NW, GRAND RAPIDS, MI 49504-2317
(616) 481-2463

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401223184
MI
247200000X
Other Technician

Other

Enumeration date
10/04/2016
Last updated
07/26/2023
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