Individual
NICOLE CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 966-2694
Mailing address
32130 PERSIMMON LN, CHESTERFIELD, MI 48047-4539
(586) 770-5115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101009160
MI
235Z00000X
Speech-Language Pathologist
8219
TN
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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