THEODORE J JANSMA

GRAND RAPIDS, MI
NPI1316924525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301001233)
Enumeration Date2005-12-29
Last Update Date2008-06-26
Business Address
-- THEODORE J JANSMA PhD
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546-7716
Phone number: 616-942-8060
Mailing Address
-- THEODORE J JANSMA PhD
PO BOX 30516 DEPT 6065
LANSING, MI 48909-8016
Phone number: 616-532-8000
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