Individual
AUTUMN LYNN WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4166 RAVENSWOOD RD, PORT HURON, MI 48060-7817
(810) 364-8331
Mailing address
1017 ELK ST, PORT HURON, MI 48060-3646
(810) 824-4460
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
MI
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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