Individual
ALYSSA JONTAE TRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2030 PORTAGE ST, KALAMAZOO, MI 49001-3836
(269) 553-8056
Mailing address
2030 PORTAGE ST, KALAMAZOO, MI 49001-3836
(269) 553-8056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801103582
MI
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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