Individual
GABRIELLE WHITED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 PORTER ST, DEARBORN, MI 48124-2890
(313) 689-5188
Mailing address
1360 PORTER ST, DEARBORN, MI 48124-2890
(313) 689-5188
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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