Individual
MRS. TAMMIE LYNNE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC-SLP
Contact information
Practice address
14145 SIMONE DR, SHELBY TOWNSHIP, MI 48315-3228
(586) 566-6280
Mailing address
51275 VILLAGE EDGE E APT 308, CHESTERFIELD, MI 48047-1322
(586) 260-4191
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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