Organization
ROCKFORD SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA DOLETZKY (SPEECH THERAPIST/OWNER)
(616) 951-1077
Entity
Organization
Contact information
Practice address
117 COURTLAND ST, ROCKFORD, MI 49341-1031
(616) 951-1077
Mailing address
345 1/2 SIGSBEE ST, ROCKFORD, MI 49341-1029
(602) 881-1753
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/22/2021
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