Individual
CARLY LISINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, CF- SLP
Contact information
Practice address
14600 KING RD, RIVERVIEW, MI 48193-7952
(734) 288-7963
Mailing address
657 ROSS BEACH ROAD, BELLERIVER, ONTARIO N0R1A-0
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000676
MI
Other
Enumeration date
08/11/2023
Last updated
08/18/2023
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