Individual
MRS. ELIZABETH ANN JABLONSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP/L
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 282-5112
Mailing address
4220 BEEMAN RD, WILLIAMSTON, MI 48895-9347
(517) 282-5112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001032
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7101001032
STATE OF MICHIGAN SLP LICENSE
MI
Enumeration date
01/31/2019
Last updated
01/31/2019
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