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1891207080
MARISSA LAUREN BERGSMA
WYOMING, MI
NPI
1891207080
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Former Name
MARISSA LAUREN ORR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101004623)
Enumeration Date
2017-10-29
Last Update Date
2017-10-29
Business Address
Mrs. MARISSA LAUREN BERGSMA M.S. CCC-SLP
2786 56TH ST SW
WYOMING, MI 49418-8708
Phone number: 616-261-3960
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Mailing Address
Mrs. MARISSA LAUREN BERGSMA M.S. CCC-SLP
2915 EARLE AVE SW
GRANDVILLE, MI 49418-1467
Phone number: 616-260-3174
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