JESSICA EVANS CCC-SLP INC.
Speech Language Pathology at Boston St, Grand Rapids, MI

License number
Michigan 7101000969
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: JESSICA EVANS
Title: PRESIDENT
Phone: (786) 877-5679
Address
Address
1725 Boston St SE, Grand Rapids, MI 49506
National Provider ID: 1225455975
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JESSICA EVANS CCC-SLP INC

Grand Rapids, MI

Registration:
Jul 30, 2013
Addresses:
1725 Boston St SE, Grand Rapids, MI 49506 (Physical)
Michigan (Mailing)
State ID:
05175N
Business type:
Domestic Profit Corporation
Agent:
Jessica Evans

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