Individual
PAIGE E CORNILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1810 CHARTWELL DR, TRAVERSE CITY, MI 49696-9283
(231) 929-2354
Mailing address
2325 ORCHARD CIRCLE DR APT 7, TRAVERSE CITY, MI 49686-1536
(734) 812-0725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7151000721
MI
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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