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Individual

MRS. JOAN MARIE VANFOSSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
2966 THORNBURY DR, HOLLAND, MI 49424-1692
(616) 886-1526
Mailing address
2966 THORNBURY DR, HOLLAND, MI 49424-1692
(616) 886-1526

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
11/20/2012
Last updated
11/20/2012
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