Individual
JESSICA SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24111 CIVIC CENTER DR, SOUTHFIELD, MI 48033-7414
(248) 349-9595
Mailing address
517 W GENESEE ST, FRANKENMUTH, MI 48734-1312
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005809
MI
235Z00000X
Speech-Language Pathologist
9667
NC
Other
Enumeration date
05/12/2016
Last updated
01/14/2020
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