Individual
MRS. AMANDA MAE OSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
710 KENMORE AVE SE, #110, GRAND RAPIDS, MI 49546
(616) 591-2905
Mailing address
710 KENMOOR AVE SE STE 110, GRAND RAPIDS, MI 49546-2379
(616) 591-2905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006902
MI
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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