Individual
STEPHANIE M TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
407 S WISNER ST, JACKSON, MI 49203-1573
(517) 205-7252
Mailing address
407 S WISNER ST, JACKSON, MI 49203-1573
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005149
MI
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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