Individual
ALEXANDRA SISON-ESTACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
31830 RYAN RD, WARREN, MI 48092-3767
(586) 977-6700
Mailing address
11217 MEADOWBROOK DR, WARREN, MI 48093-6553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008170
MI
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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