Individual
JENNA LYNN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 36TH ST SE, KENTWOOD, MI 49512-2809
(616) 726-1979
Mailing address
3333 36TH ST SE, KENTWOOD, MI 49512-2809
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
03/18/2022
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