STACY GANGWER

GRAND RAPIDS, MI
NPI1740771476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MI  7101004258)
Enumeration Date2018-05-29
Last Update Date2018-05-29
Business Address
STACY GANGWER
2460 BURTON ST SE STE 100
GRAND RAPIDS, MI 49546-4800
Phone number: 616-333-2721
Mailing Address
STACY GANGWER
2460 BURTON ST SE STE 100
GRAND RAPIDS, MI 49546-4800
Phone number: