Individual
AUDRA L JOLDERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
2400 COLLEGE AVE, GOSHEN, IN 46528-5010
(574) 533-0351
Mailing address
2400 COLLEGE AVE, GOSHEN, IN 46528-5010
(574) 533-0351
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003015A
IN
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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