TIMOTHY FRIESEN

GRAND RAPIDS, MI
NPI1306806476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301007967)
Enumeration Date2006-03-24
Last Update Date2007-07-08
Business Address
-- TIMOTHY FRIESEN PSYD
3355 EAGLE PARK DR NE STE 106
GRAND RAPIDS, MI 49525
Phone number: 616-942-8060
Mailing Address
-- TIMOTHY FRIESEN PSYD
PO BOX 30516 DEPT 6001A
LANSING, MI 48909-8016
Phone number: 616-942-8060
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