Individual
MRS. JILL MADORE-OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP, VITAL STIM CERF
Contact information
Practice address
6181 LISMORE CIR, GRAND BLANC, MI 48439-2320
(248) 328-5861
Mailing address
6181 LISMORE CIR, GRAND BLANC, MI 48439-2320
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000410
MI
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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