Individual
SUZANNE M. MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
17284 LANE AVE, SPRING LAKE, MI 49456-1232
(616) 780-0549
Mailing address
17284 LANE AVE, SPRING LAKE, MI 49456-1232
(616) 780-0549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
5762
MA
235Z00000X
Speech-Language Pathologist
Primary
7101003946
MI
Other
Enumeration date
05/02/2008
Last updated
12/15/2015
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