Individual
AUDREY SUMMER LAURILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
17150 WATERLOO ST STE 250, GROSSE POINTE, MI 48230-1201
(313) 473-4730
(313) 473-4734
Mailing address
864 BEACONSFIELD AVE APT 1S, GROSSE POINTE PARK, MI 48230-2707
(906) 282-6473
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007358
MI
Other
Enumeration date
07/12/2019
Last updated
02/02/2023
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