Most Relevant Information
Provider Data
| NPI Number: | 1003023730 |
| Provider Name: | DONNA ANDRESEN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 6801017214 |
Most Important Dates
| Enumeration Date: | 05/16/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1521 GULL RD
KALAMAZOO
MI
490481640
Practice Location Phone/Fax
| Phone: | 2692267027 |
| Fax: |
Provider Mailing Location
5943 STADIUM DR
STE 4
KALAMAZOO
MI
490093016
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |