Individual
LISA MARIE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. SLP
Contact information
Practice address
1314 S DOWLING, WESTLAND, MI 48186-4016
(734) 641-7834
Mailing address
1314 S DOWLING ST, WESTLAND, MI 48186-4016
(734) 641-7834
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000519
MI
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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