Individual
NICOLE ROUBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2855 44TH ST SW STE 160, GRANDVILLE, MI 49418-2682
(616) 379-9887
Mailing address
11886 SEVEN PINE DR, HOLLAND, MI 49424-8673
(231) 499-1817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2222040101
MI
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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