Organization
SLC THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDRIA MONIQUE SEALS GREEN CCC-SLP (EXECUTIVE DIRECTOR)
(866) 752-0899
Entity
Organization
Contact information
Practice address
29240 BUCKINGHAM ST, SUITE 5, LIVONIA, MI 48154-4575
(866) 752-0899
(203) 604-0602
Mailing address
29240 BUCKINGHAM, SUITE 5, LIVONIA, WAYNE 48154
(866) 752-0899
(203) 604-0602
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11212642
WV
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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