Individual
LORI PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13343 LASALLE BLVD, HUNTINGTON WOODS, MI 48070-1031
(734) 377-7115
Mailing address
13343 LASALLE BLVD, HUNTINGTON WOODS, MI 48070-1031
(734) 377-7115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001869
MI
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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