Individual
ANIL SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSCCCSLP
Contact information
Practice address
41155 POND VIEW DR, STERLING HEIGHTS, MI 48314-3891
(586) 739-9494
Mailing address
41155 POND VIEW DR, STERLING HEIGHTS, MI 48314-3891
(586) 739-9494
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001498
MI
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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