Individual
MRS. ALISON BARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
7368 CHERRY AVE, JENISON, MI 49428-7750
(616) 402-9517
Mailing address
7368 CHERRY AVE, JENISON, MI 49428-7750
(616) 402-9517
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000875
MI
235Z00000X
Speech-Language Pathologist
SP.11610
OH
Other
Enumeration date
08/19/2015
Last updated
08/19/2016
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