Individual
JILL DENISE SPONSELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2600 THREE LEAVES DR, MOUNT PLEASANT, MI 48858-5523
(989) 779-5604
(989) 779-1839
Mailing address
2600 THREE LEAVES DR, MOUNT PLEASANT, MI 48858-5523
(989) 779-5604
(989) 779-1839
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000208
MI
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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