Individual
MRS. JESSICA SUNDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 WILLIAMSTON CENTER RD., SUITE 800, WILLIAMSTON, MI 48895
(517) 655-2327
(517) 655-2442
Mailing address
1330 E. GRAND RIVER AVE, SUITE B, PORTLAND, MI 48875
(517) 647-4327
(517) 647-2442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001121
MI
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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