Individual
REBECCA CHRISTINE JASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
34634 MIDDLEBORO ST, LIVONIA, MI 48154-5331
(734) 765-0829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006612
MI
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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