Organization
WAYNE STATE UNIVERSITY SPEECH AND LANGUAGE CENTER
Active
Organization
WAYNE STATE UNIVERSITY SPEECH AND LANGUAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYELLEN LIENING M.A CCC-SLP (CLINICAL INSTRUCTOR)
(313) 577-3339
Entity
Organization
Contact information
Practice address
60 FARNSWORTH ST, DETROIT, MI 48202-4060
(313) 577-3339
Mailing address
60 FARNSWORTH, ROOM 207, DETROIT, MI 48202
(313) 577-3339
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
7101001401
MI
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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