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Individual

JESSICA NICOLE NEWBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
5123 N ROYAL DR, TRAVERSE CITY, MI 49684-9201
(319) 298-3832
Mailing address
1044 TART TRAIL LN, TRAVERSE CITY, MI 49686-3113

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15354
OR

Other

Enumeration date
06/25/2015
Last updated
06/02/2022
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