Individual
ROSE JENMAN HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC- SLP
Contact information
Practice address
1471 GRACE ST SE, GRAND RAPIDS, MI 49506-1678
(616) 913-2006
Mailing address
1825 RIVA RIDGE DR SE, GRAND RAPIDS, MI 49546-8224
(616) 956-6538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003556
MI
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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