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1811645617
KELLY VANDERGIESSEN
JACKSON, MI
NPI
1811645617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MI 7101003528)
Enumeration Date
2022-03-11
Last Update Date
2022-03-11
Business Address
KELLY VANDERGIESSEN MA CCC-SLP
2282 SPRINGPORT RD
JACKSON, MI 49202-1432
Phone number: 517-768-9791
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Mailing Address
KELLY VANDERGIESSEN MA CCC-SLP
1071 S COLLEGE RD
MASON, MI 48854-9707
Phone number: 616-291-2247
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