Individual
ALLISON KYLE WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
103 COLLEGE AVE SE, GRAND RAPIDS, MI 49503-5921
(616) 780-9385
Mailing address
103 COLLEGE AVE SE, GRAND RAPIDS, MI 49503-5921
(616) 780-9385
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015452
MI
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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