Individual
MS. LAURA LYNN WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, FAODP
Contact information
Practice address
4875 COPLIN ST, DETROIT, MI 48215-2192
(313) 822-1148
(313) 822-1157
Mailing address
4875 COPLIN ST, DETROIT, MI 48215-2192
(313) 822-1148
(313) 822-1157
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/10/2009
Last updated
05/10/2009
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