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Individual

CHRISTINE MEREDITH DAMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 CHARLEVOIX DR SE, SUITE 2000, GRAND RAPIDS, MI 49546-7085
(800) 684-8049
(800) 325-1326
Mailing address
1099 PREVOST CT, SAN JOSE, CA 95125-5723

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
105501
TX
235Z00000X
Speech-Language Pathologist
13220
OR
235Z00000X
Speech-Language Pathologist
8831
NC
235Z00000X
Speech-Language Pathologist
SP01047
RI
235Z00000X
Speech-Language Pathologist
Primary
SP17054
CA

Other

Enumeration date
04/25/2010
Last updated
02/15/2011
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