Individual
SALLY JAKEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26105 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48334-4576
(248) 477-5500
Mailing address
7338 MCCANDLISH RD, GRAND BLANC, MI 48439-7421
(773) 425-1446
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000749
MI
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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