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Individual

MARCI LEA BANFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14145 SIMONE DR, SHELBY TOWNSHIP, MI 48315
(586) 566-6280
Mailing address
P.O. BOX 610646, PORT HURON, MI 48061
(810) 479-9130

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
10/21/2009
Last updated
10/21/2009
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