Individual
JESSIE JUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
265 N ALLOY DR, FENTON, MI 48430-2646
(810) 373-9507
Mailing address
2365 W THOMPSON RD, FENTON, MI 48430-9768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008054
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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