Individual
AUTUMN BJORNSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 576-4381
Mailing address
22447 CORTEVILLE ST, SAINT CLAIR SHORES, MI 48081-1367
(586) 354-0602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000746
MI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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