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Individual

BAILEE LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
138 W HIGHLAND RD STE 500-600, HOWELL, MI 48843-2170
(517) 376-4831
Mailing address
138 W HIGHLAND RD STE 500-600, HOWELL, MI 48843-2170
(517) 376-4831
(517) 376-4833

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005489
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10058319
WI
Enumeration date
07/15/2016
Last updated
05/03/2018
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