Individual
MRS. CARLY MICHELLE MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2300 WATKINS LAKE RD, WATERFORD, MI 48328-1439
(248) 673-1720
Mailing address
2300 WATKINS LAKE RD, WATERFORD, MI 48328-1439
(248) 673-1720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005486
MI
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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