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1366172199
ELLEN WEGENER
GRAND RAPIDS, MI
NPI
1366172199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA21384)
Enumeration Date
2022-06-14
Last Update Date
2024-04-03
Business Address
ELLEN WEGENER M.S. CCC SLP
4467 BYRON CENTER AVE SW
GRAND RAPIDS, MI 49519-4808
Phone number: 616-552-9544
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Mailing Address
ELLEN WEGENER M.S. CCC SLP
150 MAYFIELD AVE NE
GRAND RAPIDS, MI 49503-3767
Phone number: 248-860-6895
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