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1427028471
JUDITH A VANDERWAL
GRAND RAPIDS, MI
NPI
1427028471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301010366)
Enumeration Date
2006-01-24
Last Update Date
2008-06-26
Business Address
-- JUDITH A VANDERWAL PHD LLP
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546-7716
Phone number: 616-942-8060
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Mailing Address
-- JUDITH A VANDERWAL PHD LLP
PO BOX 30516 DEPT 6065
LANSING, MI 48909-8016
Phone number: 616-532-8000
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