Individual
MIKAYLA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17150 WATERLOO ST STE 250, GROSSE POINTE, MI 48230-1201
(313) 473-4730
Mailing address
17150 WATERLOO ST STE 250, GROSSE POINTE, MI 48230-1201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000380
MI
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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