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1295105955
NICOLE QUIRK
CANTON, MI
NPI
1295105955
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Former Name
NICOLE SCOTT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101001873)
Enumeration Date
2015-10-06
Last Update Date
2015-10-06
Business Address
-- NICOLE QUIRK M.A., CCC-SLP
45570 MABEN RD
CANTON, MI 48187-4880
Phone number: 313-999-1667
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Mailing Address
-- NICOLE QUIRK M.A., CCC-SLP
332 SPENCER ST LOWER UNIT
FERNDALE, MI 48220-2573
Phone number: 313-999-1667
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