Individual
MRS. JORDAN BOOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
4800 S SAGINAW ST, FLINT, MI 48507-2677
(810) 732-8336
Mailing address
415 BURNING BUSH LN, MIDLAND, MI 48642-7027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007541
MI
235Z00000X
Speech-Language Pathologist
7151001794
MI
Other
Enumeration date
11/11/2020
Last updated
05/25/2023
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