Individual
GRETA SHIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. SLP-CCC
Contact information
Practice address
7086 8TH AVE, JENISON, MI 49428-9352
(616) 667-9551
Mailing address
7086 8TH AVE, JENISON, MI 49428-9352
(616) 667-9551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000293
MI
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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