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Individual

JORDYN SEBASTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
11878 HUBBARD ST STE 100, LIVONIA, MI 48150-1733
(734) 953-1745
(734) 953-1743
Mailing address
4949 COOLIDGE HWY, ROYAL OAK, MI 48073-1026
(248) 655-5880

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008444
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497760086
MI
Enumeration date
10/10/2019
Last updated
08/22/2024
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