Individual
SOPHIA LOUISE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2880 WILSON AVE SW, GRANDVILLE, MI 49418-1221
(616) 300-5495
Mailing address
2880 WILSON AVE SW, GRANDVILLE, MI 49418-1221
(616) 300-5495
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14401794
MI
Other
Enumeration date
01/16/2019
Last updated
07/31/2023
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