Individual
JENNIFER ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41850 W 11 MILE RD STE 110, NOVI, MI 48375-1857
(248) 943-9598
Mailing address
27865 PEPPERMILL RD, FARMINGTON HILLS, MI 48331-3328
(248) 943-9598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003360
MI
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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