Individual
ALLYSSA GRACE MAZUR-BATISTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62445 SHIMMEL RD, CENTREVILLE, MI 49032-9527
(269) 467-5400
Mailing address
62445 SHIMMEL RD, CENTREVILLE, MI 49032-9527
(269) 467-5400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005719
MI
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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