Individual
MISS JACKIE MARIE CONFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3317 PARK RIDGE LN NE, GRAND RAPIDS, MI 49525-7037
(810) 355-1727
Mailing address
3317 PARK RIDGE LN NE, GRAND RAPIDS, MI 49525-7037
(810) 355-1727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
NA
MI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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