Organization
GREAT LAKES LANGUAGE AND LITERACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA V OWENS SLP-CCC (OWNER/OPERATOR)
(248) 291-4390
Entity
Organization
Contact information
Practice address
888 W BIG BEAVER RD STE 780, TROY, MI 48084-4745
(248) 291-4390
Mailing address
298 BROADACRE AVE, CLAWSON, MI 48017-1502
(248) 291-4390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
04/13/2020
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