Individual
MRS. DEBRA SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
853 WESTCHESTER RD, GROSSE POINTE PARK, MI 48230-1827
(313) 919-8004
Mailing address
853 WESTCHESTER RD, GROSSE POINTE PARK, MI 48230-1827
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000353
MI
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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