Individual
MARISA LEIGH COSCARELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-9368
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2196
(313) 745-9368
(313) 966-2694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008404
MI
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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