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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