Individual
MS. TAMIKO E TESHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2450 44TH ST SE STE 201, KENTWOOD, MI 49512-9081
(616) 528-0870
(616) 591-5684
Mailing address
10170 DUNCAN LAKE AVE SE, CALEDONIA, MI 49316-9413
(727) 807-0511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005604
MI
Other
Enumeration date
04/24/2019
Last updated
09/20/2023
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