Individual
CANDICE TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 281-6459
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 281-6459
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009738
MI
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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