Individual
MELISSA N YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
12232 CAVELL ST, LIVONIA, MI 48150-2306
(906) 440-7119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
71011005290
MI
Other
Enumeration date
03/09/2011
Last updated
02/09/2017
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