KELLI VAN WYK

JENISON, MI
NPI1134523020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MI  7101004541)
Enumeration Date2014-10-21
Last Update Date2014-10-21
Business Address
-- KELLI VAN WYK
7086 8TH AVE
JENISON, MI 49428-9352
Phone number: 616-667-9551
Mailing Address
-- KELLI VAN WYK
1430 JENNINGS ST SE
GRAND RAPIDS, MI 49507-3721
Phone number: