Individual
VERONICA RODRIGUEZ PERSENAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 EAST PARIS AVE SE, GRAND RAPIDS, MI 49546
(616) 940-0238
(616) 245-0450
Mailing address
61 COMMERCE AVE SW, GRAND RAPIDS, MI 49503
(616) 940-0660
(616) 940-1965
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009474
MI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/26/2007
Last updated
10/03/2011
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