Individual
AMY MARIE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
44738 MORLEY DR, CLINTON TOWNSHIP, MI 48036-1357
(586) 421-4072
Mailing address
31618 EVENINGSIDE, FRASER, MI 48026-3320
(586) 285-1346
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001758
MI
Other
Enumeration date
01/05/2014
Last updated
01/05/2014
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