Individual
SUSAN COON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19631 RIDGEMONT ST, SAINT CLAIR SHORES, MI 48080-3320
(248) 705-6027
Mailing address
19631 RIDGEMONT ST, SAINT CLAIR SHORES, MI 48080-3320
(248) 705-6027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002323
MI
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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