Individual
MALLORY GROENEVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16925 ABILITY WAY, GRAND HAVEN, MI 49417-9325
(616) 935-7606
Mailing address
16925 ABILITY WAY, GRAND HAVEN, MI 49417-9325
(616) 935-7606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007321
MI
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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