Individual
MRS. JAMI MICHELLE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
400 S STATE ST STE 100, ZEELAND, MI 49464-2067
(616) 772-1370
(616) 772-9774
Mailing address
400 S STATE ST STE 100, ZEELAND, MI 49464-2067
(616) 772-1370
(616) 772-9774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003964
MI
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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