Individual
MRS. JODY VANDENBERG CONANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 382-0532
(616) 774-7760
Mailing address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 382-0532
(616) 774-7760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003257
MI
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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