Individual
LESLIE ANN SHABLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 E MICHIGAN AVE STE 4, LANSING, MI 48912-4345
(517) 364-8600
Mailing address
3550 VENICE DR, DEWITT, MI 48820-7899
(248) 941-4819
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000960
MI
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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