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1508040627
WILLIAM P. KOOISTRA
GRAND HAVEN, MI
NPI
1508040627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301007943)
Enumeration Date
2007-12-26
Last Update Date
2016-12-23
Business Address
-- WILLIAM P. KOOISTRA PH.D.
41 WASHINGTON AVE STE 365
GRAND HAVEN, MI 49417-3304
Phone number: 616-399-9911
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Mailing Address
-- WILLIAM P. KOOISTRA PH.D.
41 WASHINGTON AVE STE 365
GRAND HAVEN, MI 49417-3304
Phone number: 616-638-7557
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