Individual
ELIZABETH MARIE CLISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
650 CHURCH ST, PLYMOUTH, MI 48170-1689
(833) 222-4273
Mailing address
48031 S I 94 SERVCE DR APT 310, BELLEVILLE, MI 48111-1736
(989) 429-2268
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000557
MI
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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