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Organization

PRACTICE OF SPEECH PATHOLGY, INC,

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELWOOD G ANDERSON ED.D (PRESIDENT)
(989) 354-8967
Entity
Organization

Contact information

Practice address
14444 M 32 W, LACHINE, MI 49753-9408
(989) 354-8967
Mailing address
552 ROBBIN AVE, ALPENA, MI 49707-1516
(989) 354-8967

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
11/23/2009
Last updated
11/23/2009
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