Individual
JILL BACIGALUPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 ROSEWOOD LN, PETOSKEY, MI 49770-8321
(231) 881-0008
Mailing address
2305 ROSEWOOD LN, PETOSKEY, MI 49770-8321
(231) 881-0008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003851
MI
235Z00000X
Speech-Language Pathologist
7101003851
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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