Individual
MORIAH JO CHRISTOFFERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
585 FREMONT ST, NEWAYGO, MI 49337-9766
(231) 652-1638
Mailing address
917 SNAEDLE RD, WHITEHALL, MI 49461-9147
(231) 349-1293
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7151001753
MI
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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