Individual
MISS JESSICA L GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
1055 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 773-2908
Mailing address
1055 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 773-2908
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009315
MI
Other
Enumeration date
07/24/2021
Last updated
07/24/2021
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