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NPI Code Detail

MEDICARE: JAMIE MARISA MCCLURE

MEDICARE: JAMIE MARISA MCCLURE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1801444278
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE MARISA MCCLURE
Provider Business Mailing Address
First Line : 6800 ROSE LN W
Second Line :
City : CHINA
State : MI
Zip : 48054-1722
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17001 17 MILE RD
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-2801
Country : US
Telephone Number : 586-286-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2019
Last Update Date : 08/29/2019

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Directions to “ JAMIE MARISA MCCLURE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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