Individual
KATHERINE LAVERN TWEEDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 E GRAND BLVD, DETROIT, MI 48207-2526
(313) 702-1301
(313) 822-1157
Mailing address
700 E GRAND BLVD, DETROIT, MI 48207-2526
(313) 702-1301
(313) 822-1157
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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