Individual
ASHLEY JEAN ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
30746 COOLEY BLVD, WESTLAND, MI 48185-1794
(248) 513-2941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004825
MI
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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