Individual
KIMBERLY ANNE-HANSEN HOLWERDA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1836 BALDWIN ST, JENISON, MI 49428-8901
(616) 457-0016
Mailing address
1293 MONTE CARLO DR, JENISON, MI 49428-8301
(616) 667-2705
(616) 667-2705
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
L136241
MI
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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