Individual
LIA GARGARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9207 WESTBURY AVE, PLYMOUTH, MI 48170-4729
(734) 788-4324
Mailing address
9207 WESTBURY AVE, PLYMOUTH, MI 48170-4729
(734) 788-4324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005053
MI
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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