Individual
MRS. LISA LYNN WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2333 BIDDLE ST, WYANDOTTE, MI 48192-4668
(734) 246-9112
Mailing address
25976 ROCKRIDGE CT, FLAT ROCK, MI 48134-1894
(734) 789-9234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01117749
—
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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