Individual
MRS. DEBBIE KAY WIERSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1939 DIVISION AVE S, GRAND RAPIDS, MI 49507-2459
(616) 247-3815
(616) 245-0450
Mailing address
1939 DIVISION AVE S, GRAND RAPIDS, MI 49507-2459
(616) 247-3815
(616) 245-0450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801057468
MI
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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