Individual
CARSON GWIZDZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3200 W LIBERTY RD STE F, ANN ARBOR, MI 48103-9180
(734) 369-6002
Mailing address
3073 SIGNATURE BLVD APT H, ANN ARBOR, MI 48103-6492
(248) 228-0934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000312
MI
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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