Individual
MRS. JENNIFER ELIZABETH WUGGAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
18844 PINE LN, MACOMB, MI 48042-6048
(248) 227-4754
Mailing address
18844 PINE LN, MACOMB, MI 48042-6048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003216
MI
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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