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Individual

MRS. OLIVIA ANNE BUCKHOUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
2251 E PARIS AVE SE, GRAND RAPIDS, MI 49546-2431
(616) 447-7799
Mailing address
3015 JEFFERSON AVE SE, GRAND RAPIDS, MI 49548-1237
(219) 476-6482

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006679
MI

Other

Enumeration date
01/29/2020
Last updated
06/29/2022
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