MALLORY JEAN WAISANEN

FLINT, MI
NPI1114402575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MI  7101005773)
Enumeration Date2018-10-01
Last Update Date2022-12-08
Business Address
MALLORY JEAN WAISANEN CCC-SLP
1 HURLEY PLZ
FLINT, MI 48503-5902
Phone number: 810-429-8923
Mailing Address
MALLORY JEAN WAISANEN CCC-SLP
9437 SHERIDAN RD
GAINES, MI 48436-8933
Phone number: 810-429-8923
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