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Individual

FAITH JUNE-MARIE GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CF-SLP

Contact information

Practice address
12800 ESCANABA DR, DEWITT, MI 48820-8680
(517) 669-7228
(517) 669-5675
Mailing address
1201 TIMBERCREEK DR, GRAND LEDGE, MI 48837-2327
(517) 898-7930

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
715200080
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184817728
MI
Enumeration date
10/26/2021
Last updated
10/26/2021
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