Organization
DRAGONFLYAWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON MALKOWYCH MA, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(248) 444-4946
Entity
Organization
Contact information
Practice address
9450 CHERRYWOOD RD, CLARKSTON, MI 48348-2504
(248) 444-4946
Mailing address
9450 CHERRYWOOD RD, CLARKSTON, MI 48348-2504
(248) 444-4946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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