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Organization
RIVERFRONT SPEECH THERAPY LLC
Active
Organization
RIVERFRONT SPEECH THERAPY LLC
Active
Other names
Riverfront Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA EXNER MA CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(734) 808-1505
Entity
Organization
Contact information
Practice address
3186 PARKWOOD ST, TRENTON, MI 48183-3659
(734) 818-1508
Mailing address
3186 PARKWOOD ST, TRENTON, MI 48183-3659
(734) 818-1508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205330941
NPI
—
01
—
14258076
CAQH ID
—
01
—
15142810
CAQH ID
—
01
—
1912591587
NPI
—
Enumeration date
05/12/2021
Last updated
05/12/2021
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