Individual
DR. JODY WEISSENBORN LARIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
309 N GRATIOT AVE, MOUNT CLEMENS, MI 48043-5748
(586) 758-5051
Mailing address
309 N GRATIOT AVE, MOUNT CLEMENS, MI 48043-5748
(586) 758-5051
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000081
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679591671
—
MI
Enumeration date
07/17/2006
Last updated
02/07/2012
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