Individual
JENNA ANN-VIERK SLAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
354 OTTER RUN RD, HOLLY, MI 48442-1582
(810) 834-2145
Mailing address
354 OTTER RUN RD, HOLLY, MI 48442-1582
(810) 834-2145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7101005873
MI
235Z00000X
Speech-Language Pathologist
Primary
7101006537
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101005873
—
MI
05
—
7101006537
—
MI
Enumeration date
09/05/2018
Last updated
06/15/2021
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