Individual
CORTNEY SUE KRUGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 LEDGESTONE PL NE, GRAND RAPIDS, MI 49525-7067
(616) 710-2817
Mailing address
202 W SHIAWASSEE AVE STE 114, FENTON, MI 48430-2093
(616) 710-2817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007620
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7101007620
STATE OF MICHIGAN SLP LICENSE
MI
Enumeration date
02/24/2025
Last updated
04/07/2025
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