Individual
MARY LOUISE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4285 DEVELOPMENT DRIVE, LANSING, MI 48911
(517) 706-0421
(517) 706-0423
Mailing address
2317 KNOB HILL DR APT 10, OKEMOS, MI 48864-4568
(630) 450-3458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005558
MI
Other
Enumeration date
02/22/2019
Last updated
05/21/2021
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