Individual
JENNIFER A BRABANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
347 CREEKSIDE DR, PETOSKEY, MI 49770-8676
(231) 487-0080
(231) 373-5459
Mailing address
347 CREEKSIDE DR, PETOSKEY, MI 49770-8676
(231) 487-0080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004205
MI
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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