Individual
MISS ALLYSHA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3508 S LAPEER RD, METAMORA, MI 48455-8768
(810) 212-1134
(810) 212-1135
Mailing address
8074 KENSINGTON BLVD, 229, DAVISON, MI 48423-2241
(989) 493-2904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14089774
MI
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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