Individual
KRISTA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1627 E BROOMFIELD ST, MOUNT PLEASANT, MI 48858-5429
(989) 779-9988
Mailing address
1627 E BROOMFIELD ST, MOUNT PLEASANT, MI 48858-5429
(989) 779-9988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000901
MI
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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