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Organization
COMMUNICATION HAVEN, LLC
Active
Organization
COMMUNICATION HAVEN, LLC
Active
Other names
Jacquelyn DeWaal
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELYN S DEWAAL M.A., CCC-SLP (OWNER)
(269) 365-3279
Entity
Organization
Contact information
Practice address
1096 34TH ST, ALLEGAN, MI 49010-9305
(269) 365-3279
Mailing address
1096 34TH ST, ALLEGAN, MI 49010-9305
(269) 365-3279
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104474089
—
MI
Enumeration date
05/17/2022
Last updated
05/17/2022
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