Individual
MARY JANE TALARICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC.SLP
Contact information
Practice address
1706 N CRYSTAL CV, HASLETT, MI 48840-8232
(517) 339-8541
Mailing address
1706 N CRYSTAL CV, HASLETT, MI 48840-8232
(517) 339-8541
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01095622
MI
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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