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Individual

JOAN BOONIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,CCC

Contact information

Practice address
4488 JACKSON RD STE 9, ANN ARBOR, MI 48103-1812
(734) 531-6053
(734) 531-6497
Mailing address
4488 JACKSON RD STE 9, ANN ARBOR, MI 48103-1812
(734) 531-6053
(734) 531-6497

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000918
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7101000918
SLP LICENSE#
MI
Enumeration date
08/09/2016
Last updated
08/09/2016
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