Individual
MARIE THERESE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(734) 717-4033
Mailing address
1417 LAS VEGAS DR, ANN ARBOR, MI 48103-5763
(734) 717-4033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001702
MI
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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