Individual
JESSICA BOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 24TH AVE STE 150, FORT GRATIOT, MI 48059-4516
(248) 232-0905
Mailing address
3453 SAINT CLAIR SHORES BLVD, EAST CHINA, MI 48054-1578
(810) 990-4453
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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