Individual
MISS CHLOE ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5864 INTERFACE DR STE D, ANN ARBOR, MI 48103-9514
(734) 994-9466
Mailing address
22760 CIVIC CENTER DR APT A3, SOUTHFIELD, MI 48033-7150
(734) 972-0355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005855
MI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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