Individual
AMY ELIZABETH FREAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MICHIGAN ST NE # MC096, GRAND RAPIDS, MI 49503-2560
(616) 486-5885
Mailing address
515 MADISON AVE SE, GRAND RAPIDS, MI 49503-5313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003386
MI
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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