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Individual

JOSHUA BEAUSOLEIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA CCC-SLP

Contact information

Practice address
790 LETICA DR, ROCHESTER, MI 48307-1581
(248) 841-8754
Mailing address
4025 NORMANDY RD, ROYAL OAK, MI 48073-6366
(313) 520-0080

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000545
MI

Other

Enumeration date
05/23/2021
Last updated
05/23/2021
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