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Individual

THERESA EDDIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
2880 WILSON AVE SW, GRANDVILLE, MI 49418-1221
(616) 300-5495
Mailing address
3271 BECKIE DR SW, WYOMING, MI 49418-9004
(616) 443-5367

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000534
MI

Other

Enumeration date
09/18/2024
Last updated
09/18/2024
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