Individual
PATRICIA DIMARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45707 MORNINGSIDE DR, CANTON, MI 48187-5448
(734) 391-9668
Mailing address
45707 MORNINGSIDE DR, CANTON, MI 48187-5448
(734) 391-9668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003785
MI
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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