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1477783843
JENNA SUZANN WIERENGA
GRANDVILLE, MI
NPI
1477783843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301015873)
Enumeration Date
2009-07-20
Last Update Date
2016-03-25
Business Address
-- JENNA SUZANN WIERENGA PsyD
4301 CANAL AVE SW STE M
GRANDVILLE, MI 49418-2667
Phone number: 616-403-2407
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Mailing Address
-- JENNA SUZANN WIERENGA PsyD
3924 SUPERIOR ST SW
GRANDVILLE, MI 49418-1641
Phone number: 616-403-2407
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