Individual
MARYAM JELVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24615 WINONA ST, DEARBORN, MI 48124-1553
(240) 888-2410
Mailing address
24615 WINONA ST, DEARBORN, MI 48124-1553
(240) 888-2410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/10/2026
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