Individual
KIZOMBO LAMBERT KALUMBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D. (C)
Contact information
Practice address
3501 LAKE EASTBROOK BLVD SE, SUITE 280, GRAND RAPIDS, MI 49546-5938
(616) 942-7331
Mailing address
4133 KENTRIDGE DR SE, GRAND RAPIDS, MI 49508-3705
(616) 281-8747
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301011825
MI
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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