Organization
SPROUT PEDIATRIC SPEECH AND LANGUAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE BADGLEY (OWNER)
(248) 563-1860
Entity
Organization
Contact information
Practice address
76 E COY AVE, HAZEL PARK, MI 48030-1140
(248) 563-1860
Mailing address
76 E COY AVE, HAZEL PARK, MI 48030-1140
(248) 563-1860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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