Individual
CHERYL DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTM, LMT
Contact information
Practice address
4951 S HAGGERTY RD LOT 22, CANTON, MI 48188-2800
(734) 788-5692
Mailing address
4951 S HAGGERTY RD LOT 22, CANTON, MI 48188-2800
(734) 788-5692
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
L2494334
MI
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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