Individual
CARMEN LEIGH WITTKOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
13697 15 MILE RD, MARSHALL, MI 49068-8533
(269) 781-6030
(269) 781-3859
Mailing address
13697 15 MILE RD, MARSHALL, MI 49068-8533
(269) 781-6030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007237
MI
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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