Individual
ALEXANDRA WIIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF-SLP
Contact information
Practice address
441 E MAIN ST, CENTREVILLE, MI 49032-9626
(269) 467-9575
Mailing address
441 E MAIN ST, CENTREVILLE, MI 49032-9626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7151013433
MI
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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