Individual
MS. GAYLE MARIE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
745 WATER TOWER RD, BIG RAPIDS, MI 49307-2135
(231) 592-1061
Mailing address
745 WATER TOWER RD, BIG RAPIDS, MI 49307-2135
(231) 592-1061
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01094166
MI
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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