Individual
VICTORIA REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 W MONROE RD, SAINT LOUIS, MI 48880-9736
(989) 681-3852
Mailing address
2895 GREYSTONE LN, APARTMENT 8, MOUNT PLEASANT, MI 48858-8449
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004968
MI
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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