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Individual

GINA MARIE IAQUINTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
1102 EDGEWOOD DR, ROYAL OAK, MI 48067-1290
(248) 229-4462
Mailing address
1102 EDGEWOOD DR, ROYAL OAK, MI 48067-1290
(248) 229-4462

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003839
MI

Other

Enumeration date
09/28/2016
Last updated
09/28/2016
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