Individual
JAMIE HULTEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
117 COURTLAND ST, ROCKFORD, MI 49341-1031
(616) 951-1077
Mailing address
2640 CARLTON AVE NE, GRAND RAPIDS, MI 49505-3850
(517) 899-9856
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008311
MI
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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