Individual
SHARIJO ELAINE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8005
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7101005515
MICHIGAN LICENSURE
MI
Enumeration date
06/13/2017
Last updated
04/19/2023
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