Individual
MRS. JENNIFER LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3260 EAGLE PARK DR NE STE 117, GRAND RAPIDS, MI 49525-4569
(616) 530-2224
(616) 825-6164
Mailing address
840 MULFORD DRIVE SOUTHEAST, GRAND RAPIDS, MI 49507
(616) 514-5668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002650
MI
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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