Individual
SHANNON MARIE MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
13476 HIDDEN CREEK CT, GRAND HAVEN, MI 49417-8935
(616) 402-2187
Mailing address
13476 HIDDEN CREEK CT, GRAND HAVEN, MI 49417-8935
(616) 402-2187
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2023041204
MO
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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