Organization
BLUE WATER VOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA RENEE HANTON CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(810) 329-3952
Entity
Organization
Contact information
Practice address
4897 LAKESHORE RD, FORT GRATIOT, MI 48059-3540
(810) 329-3952
Mailing address
4897 LAKESHORE RD, FORT GRATIOT, MI 48059-3540
(810) 329-3952
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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