Individual
KIRSTEN ANNE BAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
6896 S GREENVILLE RD, GREENVILLE, MI 48838-1081
(616) 754-2943
Mailing address
6896 S GREENVILLE RD, GREENVILLE, MI 48838-1081
(616) 754-2943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002819
MI
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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