Individual
OLIVIA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2880 WILSON AVE SW, GRANDVILLE, MI 49418-1221
(616) 300-5495
Mailing address
804 CHATHAM ST NW, GRAND RAPIDS, MI 49504-5659
(248) 622-0689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008209
MI
Other
Enumeration date
10/12/2022
Last updated
01/05/2024
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