Individual
VALETA ANNA GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 N MAIN ST, DAVISON, MI 48423-1431
(810) 412-4573
Mailing address
10401 W PIERSON RD, FLUSHING, MI 48433-9767
(906) 440-2808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000871
MI
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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