Individual
JACLYN FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 WILDER RD, BAY CITY, MI 48706-2367
(734) 377-3476
Mailing address
3727 WILDER RD, BAY CITY, MI 48706-2367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000321
MI
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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