Individual
STACEY CLARKE SUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-2660
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-2660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002537
MI
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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