Individual
KELSEY FRANCES FAGERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6284 BELMONT AVE NE, BELMONT, MI 49306-9600
(161) 695-1107
Mailing address
7096 EASTWOOD AVE, JENISON, MI 49428-8117
(616) 773-8101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008280
MI
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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