Individual
LORI ANN GIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11525 E 10 MILE RD, WARREN, MI 48089-3802
(586) 759-0700
Mailing address
1846 LAKEWOOD DR, TROY, MI 48083-5519
(248) 689-4881
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000148
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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