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Individual

MRS. ERIN N HEATOR-DIETSCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2880 WILSON AVE SW, GRANDVILLE, MI 49418-1221
(616) 300-5495
(616) 469-1464
Mailing address
2880 WILSON AVE SW, GRANDVILLE, MI 49418-1221
(616) 300-5495
(616) 469-1464

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
710005202
MI
235Z00000X
Speech-Language Pathologist
Primary
7101005202

Other

Enumeration date
02/16/2022
Last updated
06/30/2023
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