Individual
JENNIFER GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 MAYBERRY ST SE, GRAND RAPIDS, MI 49508-1525
(616) 828-4824
Mailing address
1900 MAYBERRY STREET, GRAND RAPIDS, MI 49508
(616) 828-4824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP18077
CA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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