Individual
MS. JUDITH ELLEN SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3501 LAKE EASTBROOK BLVD SE, SUITE 146, GRAND RAPIDS, MI 49546-5938
(616) 954-9850
(616) 954-9852
Mailing address
3501 LAKE EASTBROOK BLVD SE, SUITE 146, GRAND RAPIDS, MI 49546-5938
(616) 954-9850
(616) 954-9852
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301009661
MI
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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