Individual
TRACEY DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38777 6 MILE RD, SUITE 209, LIVONIA, MI 48152-2694
(734) 452-0395
Mailing address
35570 VARGO ST, LIVONIA, MI 48152-2941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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