Individual
ROGER THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1627 E BROOMFIELD ST, MT PLEASANT, MI 48858-5429
(989) 779-9988
Mailing address
1627 E BROOMFIELD ST, MT PLEASANT, MI 48858-5429
(989) 779-9988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01064877
MI
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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