Organization
LAKESIDE LANGUAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELBY CARRIER SLP (OWNER)
(231) 445-5090
Entity
Organization
Contact information
Practice address
196 S 3RD ST # 1, ROGERS CITY, MI 49779-1710
(231) 445-5090
Mailing address
196 S 3RD ST # 1, ROGERS CITY, MI 49779-1710
(231) 445-5090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
11/19/2024
Last updated
12/23/2024
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