Individual
MARISSA HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2251 EAST PARIS AVE SE, GRAND RAPIDS, MI 49546
(616) 447-7799
Mailing address
1844 SUNVALE DR SW, WYOMING, MI 49519-6549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/30/2018
Last updated
07/09/2019
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