Individual
JENNIFER LAUREN FANTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
31815 SOUTHFIELD RD STE 11, BEVERLY HILLS, MI 48025-5471
(248) 506-9867
(248) 885-8270
Mailing address
31815 SOUTHFIELD RD STE 11, BEVERLY HILLS, MI 48025-5471
(248) 506-9867
(248) 885-8270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001348
MI
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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