Individual
KRISTA MARCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 ROCHESTER RD, ROYAL OAK, MI 48073-3635
(248) 733-4325
Mailing address
2512 ROCHESTER RD, ROYAL OAK, MI 48073-3635
(248) 733-4325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
MI
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
11/08/2019
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