Individual
DEBORAH SUZANNE AIDEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MS, OTRL
Contact information
Practice address
18316 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 615-9730
Mailing address
18316 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 615-9730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201007395
MI
Other
Enumeration date
01/11/2011
Last updated
03/31/2022
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