Individual
GENNA M RANDAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-2792
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-2792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001445
MI
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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