Individual
CAITLYN DEHAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7086 8TH AVE, JENISON, MI 49428-9352
(616) 667-9551
Mailing address
75 E 22ND ST, HOLLAND, MI 49423-4811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005857
MI
Other
Enumeration date
08/27/2018
Last updated
03/17/2019
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