Individual
TRAICE MARIE ROKITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 ANN ST NW, GRAND RAPIDS, MI 49504-2052
(616) 591-2905
Mailing address
400 ANN ST NW, GRAND RAPIDS, MI 49504-2052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006298
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7101006298
MICHIGAN STATE LICENSE
MI
Enumeration date
06/27/2019
Last updated
06/27/2019
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