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1992410567
STEVENSON PRUSSNER
MUSKEGON, MI
NPI
1992410567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101008648)
Enumeration Date
2023-01-18
Last Update Date
2023-10-24
Business Address
STEVENSON PRUSSNER CCC-SLP
1910 E APPLE AVE STE GH
MUSKEGON, MI 49442-4281
Phone number: 231-333-9148
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Mailing Address
STEVENSON PRUSSNER CCC-SLP
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 142-944-0509
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