Individual
HANNAH BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2450 44TH ST SE STE 201, KENTWOOD, MI 49512-9081
(616) 528-0870
Mailing address
2447 NORMANDY DR SE, GRAND RAPIDS, MI 49506-5434
(734) 855-5108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008530
MI
Other
Enumeration date
12/05/2022
Last updated
09/21/2023
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