Individual
HEATHER KOLWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21764 CORSAUT LN, BEVERLY HILLS, MI 48025-2606
(248) 797-1765
Mailing address
21764 CORSAUT LN, BEVERLY HILLS, MI 48025-2606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
07/28/2020
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