Individual
JILLIAN L KLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2787 WILSON AVE NW, WALKER, MI 49534-7510
(616) 915-2066
Mailing address
146 NATIONAL AVE NW, GRAND RAPIDS, MI 49504-5656
(630) 696-8464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000837
MI
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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