BLAKE GELLNER

TROY, MI
NPI1093230146
Former NameBLAKE SCOLLICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MI  7101005800)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: WV  1803)
Enumeration Date2017-08-10
Last Update Date2018-09-18
Business Address
BLAKE GELLNER
830 KIRTS BLVD STE 305
TROY, MI 48084-4892
Phone number: 124-876-0212
Mailing Address
BLAKE GELLNER
830 KIRTS BLVD STE 305
TROY, MI 48084-4892
Phone number: 124-876-0212