Individual
EMILY CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(800) 528-8989
Mailing address
2063 GLENN CANYON DR SE, CALEDONIA, MI 49316-7690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001270
MI
Other
Enumeration date
10/22/2014
Last updated
11/13/2018
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