Teresa Marie Wiersma, LMSW
Social Worker, Clinical in Holland, MI. Individual provider (NPI-1).
NPI number1154401255
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1154401255
- Entity type
- Individual (NPI-1)
- Name
- Teresa Marie Wiersma
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801057501 | MI | Yes |
Practice location
270 Hoover BlvdHolland, MI 49423-3719
Phone 616-772-9625
Mailing address
1695 92nd AveZeeland, MI 49464-1931
Phone 616-772-9625
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