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Individual

MARISSA JEAN SHERIDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
2121 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-5793
(616) 235-5725
Mailing address
2804 CENTRAL PARK WAY NE APT 202, GRAND RAPIDS, MI 49505-3461

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004354
MI

Other

Enumeration date
10/28/2019
Last updated
10/28/2019
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