Individual
MARY LYNN BROOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA., CCC-SLP
Contact information
Practice address
9281 SUMPTER RD, MAYBEE, MI 48159-9613
(734) 735-7391
Mailing address
9281 SUMPTER RD, MAYBEE, MI 48159-9613
(734) 735-7391
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007235
MI
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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