Individual
SOPHIE WALDVOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17216 VAN WAGONER RD, SPRING LAKE, MI 49456-8705
(616) 402-6997
Mailing address
3016 KNAPP ST NE, GRAND RAPIDS, MI 49525-4513
(231) 881-2941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152001339
MI
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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