Individual
NICOLE QUIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
45570 MABEN RD, CANTON, MI 48187-4880
(313) 999-1667
Mailing address
332 SPENCER ST, LOWER UNIT, FERNDALE, MI 48220-2573
(313) 999-1667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001873
MI
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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