Individual
OLIVIA MISIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 ORCHARD LAKE RD STE 114, WEST BLOOMFIELD, MI 48322-3424
(248) 655-5975
Mailing address
6900 ORCHARD LAKE RD STE 114, WEST BLOOMFIELD, MI 48322-3424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000574
MI
Other
Enumeration date
08/09/2023
Last updated
06/08/2024
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