Individual
MS. LISA MICHELLE MOREASUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
10310 MACKENZIE ST, DETROIT, MI 48204-3009
(313) 931-2592
(313) 931-2592
Mailing address
10310 MACKENZIE ST, DETROIT, MI 48204-3009
(313) 931-2592
(313) 931-2592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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