Individual
DIANA MARCINIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
26715 GREENFIELD RD, SOUTHFIELD, MI 48076-4717
(248) 557-0050
Mailing address
2011 S CAVALIER DR, CANTON, MI 48188-1828
(734) 394-2890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000794
MI
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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