Individual
JENNIFER LYNNE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6274 CHELTENHAM DR, TEMPERANCE, MI 48182-1137
(734) 625-9372
Mailing address
6274 CHELTENHAM DR, TEMPERANCE, MI 48182-1137
(734) 625-9372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004397
MI
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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