Individual
ALICIA HANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 WATKINS LAKE RD, WATERFORD, MI 48328-1439
(248) 673-1720
Mailing address
5775 COOMER RD, WEST BLOOMFIELD, MI 48324-1111
(517) 403-6218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006292
MI
Other
Enumeration date
06/03/2021
Last updated
05/10/2024
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