Individual
ELLEN SMITH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/LSLS CERT. AVT
Contact information
Practice address
475 MARKET PL, BUILDING 1, SUITE A, ANN ARBOR, MI 48108-1649
(734) 998-8119
(734) 998-8122
Mailing address
475 MARKET PL, BUILDING 1, SUITE A, ANN ARBOR, MI 48108-1649
(734) 998-8119
(734) 998-8122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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