Individual
JESSICA WYWIEROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5388
Mailing address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5388
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000719
MI
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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