Individual
KEVIN JAY TOLSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LLP
Contact information
Practice address
6692 SPRING ARBOR RD, JACKSON, MI 49201-9322
(517) 750-3869
Mailing address
3601 HENDEE RD, JACKSON, MI 49201-9836
(517) 841-0115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010703
MI
Other
Enumeration date
07/20/2008
Last updated
07/20/2008
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