Individual
ASHLEY RUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.T.
Contact information
Practice address
610 W ELM AVE, MONROE, MI 48162-7909
(734) 240-9670
(734) 240-9671
Mailing address
610 W ELM AVE, MONROE, MI 48162-7909
(734) 240-9670
(734) 240-9671
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MI
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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