Individual
ADRIA PERMESANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
3550 FAIRLANES AVE SW, GRANDVILLE, MI 49418-1572
(616) 531-5025
Mailing address
3550 FAIRLANES AVE SW, GRANDVILLE, MI 49418-1572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006017
MI
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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