Individual
MS. BARBARA STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP, TSLI
Contact information
Practice address
3010 WILSON AVE SW, GRANDVILLE, MI 49418-1242
(616) 249-8141
Mailing address
139 120TH AVE, SHELBYVILLE, MI 49344-9713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09137932
MI
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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