Individual
SYDNEY E CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
421 BENSON AVE NE APT 2109, GRAND RAPIDS, MI 49503-0026
(231) 675-9222
Mailing address
105 EATON AVE, CHARLEVOIX, MI 49720-1712
(231) 675-9222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005803
MI
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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