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Jessica Marie Livernois
Speech-Language Assistant in White Lake, Michigan
NPI 1457544751

Jessica Marie Livernois is a Speech-Language Assistant based in White Lake, MI and is specialized in Speech-Language Assistant. Jessica Marie Livernois practices in White Lake, MI. The NPI Number for Jessica Marie Livernois is 1457544751 and holds a License No. L165403585699 (Michigan).

The current practice location address for Jessica Marie Livernois is 649 Woodsedge Ln, White Lake, MI and can be reached out via phone at 248-255-5285.

Location: 649 Woodsedge Ln, White Lake, MI, 48386-3554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457544751
Provider Name
Jessica Marie Livernois
Credential
Provider Entity Type
Individual
Gender
Female
Address
649 Woodsedge Ln, White Lake, MI, 48386-3554
Phone Number
248-255-5285
Fax Number
Provider Enumeration Date
08/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
649 Woodsedge Ln
City
White Lake
State
Michigan
Zip
48386-3554
Phone Number
248-255-5285
Fax Number
person
Provider Business Mailing Address Details
Address
649 Woodsedge Ln
City
White Lake
State
Michigan
Zip
48386-3554
Phone Number
248-255-5285
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
L165403585699 (Michigan)
Definition
Definition to come...
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