Individual
JENNIFER HANSEN AXELGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 HAMBURG RD, HAMBURG, MI 48139-1204
(810) 231-9042
Mailing address
3278 CHELSEA CIR, ANN ARBOR, MI 48108-2714
(801) 602-8081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004250
MI
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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