Individual
MRS. JAIMIE LYNN MANFRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
37333 BRISTOL ST, LIVONIA, MI 48154-1763
(734) 751-8814
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005177
MI
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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