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Individual

JENNIFER CHRISTINE EDWARDS-MAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
8245 HOLLY RD, SUITE 204, GRAND BLANC, MI 48439
(810) 603-0040
(810) 603-0044
Mailing address
8245 HOLLY RD, SUITE 204, GRAND BLANC, MI 48439-2443
(810) 603-0040
(810) 603-0044

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12031896
MI
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12031896
ASHA ID NUMBER
MI
Enumeration date
03/19/2009
Last updated
08/24/2018
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