Individual
MEGAN KONWINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
459 IVY GROVE NORTH NW, GRAND RAPIDS, MI 49534-8725
(616) 826-6417
Mailing address
459 IVY GROVE NORTH NW, GRAND RAPIDS, MI 49534-8725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004814
MI
Other
Enumeration date
06/20/2017
Last updated
05/08/2023
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