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1801405022
MARISSA LYNN HUMPHREY
DAVISON, MI
NPI
1801405022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101006194)
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
MARISSA LYNN HUMPHREY CCC-SLP
320 N MAIN ST
DAVISON, MI 48423-1423
Phone number: 810-412-4573
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Mailing Address
MARISSA LYNN HUMPHREY CCC-SLP
9216 HAWTHORN DR
DAVISON, MI 48423-2084
Phone number: 810-701-9271
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