Individual
JESSICA GORTSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
422 E SIMPSON ST, LAFAYETTE, CO 80026-2328
(720) 515-4487
Mailing address
6249 S 440 E, MURRAY, UT 84107-7406
(616) 329-9669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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