Individual
HOLLY KRISTINE SUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2251 E PARIS AVE SE, GRAND RAPIDS, MI 49546-2431
(779) 961-6447
Mailing address
4630 EASTERN AVE SE APT 204, GRAND RAPIDS, MI 49508-7572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008279
MI
Other
Enumeration date
07/13/2023
Last updated
01/30/2024
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