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Individual

GAIL ANN O'ROURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
1331 LAKE DR SE, SUITE 105, GRAND RAPIDS, MI 49506-1674
(616) 447-7799
Mailing address
1331 LAKE DR SE, SUITE 105, GRAND RAPIDS, MI 49506-1674
(616) 447-7799

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
09/15/2012
Last updated
09/15/2012
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