Individual
LAURA JEAN CRANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
445 104TH AVE, HOLLAND, MI 49423-9107
(616) 795-9693
Mailing address
11600 LAKESHORE DR, GRAND HAVEN, MI 49417-9662
(616) 291-1033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005256
MI
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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