Individual
MADYSON LOUSIE DEROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 BEECH ST STE 2100, CLARE, MI 48617-1477
(989) 802-5131
Mailing address
4157 S VANDECAR RD, MOUNT PLEASANT, MI 48858-9555
(616) 283-8595
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000772
MI
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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