Individual
NOELLE EDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8045 E JEFFERSON AVE, DETROIT, MI 48214-2627
(313) 821-3525
Mailing address
12242 PINE ST, TAYLOR, MI 48180-4011
(734) 262-4790
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101009051
MI
Other
Enumeration date
05/05/2020
Last updated
08/26/2024
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