Individual
ANNALISE J SIKMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3809 LAKE EASTBROOK BLVD SE STE A, GRAND RAPIDS, MI 49546-5931
(616) 604-8492
Mailing address
3809 LAKE EASTBROOK BLVD SE STE A, GRAND RAPIDS, MI 49546-5931
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009404
MI
Other
Enumeration date
01/29/2019
Last updated
08/27/2021
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