Individual
MIRANDA F BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14600 KING RD STE C1, RIVERVIEW, MI 48193-7952
(734) 288-7963
Mailing address
14600 KING RD STE C1, RIVERVIEW, MI 48193-7952
(734) 288-7963
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008985
MI
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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