Individual
SHAE NIMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
206 N HOWARD ST, FENTON, MI 48430-2195
(810) 429-9545
Mailing address
206 N HOWARD ST, FENTON, MI 48430-2195
(810) 429-9545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004726
MI
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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