Individual
MS. ANITA SHAWBITZ WIERDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
14 E. GROVE CT., FREELAND, MI 48623-7805
(989) 781-4324
Mailing address
14 E GROVE CT, FREELAND, MI 48623-7805
(909) 781-4324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00961102
MD
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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