Individual
JENNA VAN GROUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7110
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007786
MI
235Z00000X
Speech-Language Pathologist
PSLP.0000319
CO
Other
Enumeration date
09/28/2018
Last updated
12/20/2023
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