Organization
GUBGAB, INC
Active
Other names
Speech Therapy & Learning Interventions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY EDWARDS MA, CCC-SLP (PRESIDENT)
(313) 505-2723
Entity
Organization
Contact information
Practice address
14719 ENGLEWOOD AVE, ALLEN PARK, MI 48101-1622
(313) 505-2723
Mailing address
14719 ENGLEWOOD AVE, ALLEN PARK, MI 48101-1622
(313) 505-2723
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
05/06/2013
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