Individual
RAVEN L GILBERT-QUISPE-QUEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3210 DAVENPORT AVE, SAGINAW, MI 48602-3495
(989) 860-0846
(888) 527-3589
Mailing address
3210 DAVENPORT AVE, SAGINAW, MI 48602-3495
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
46003834A
IN
235Z00000X
Speech-Language Pathologist
Primary
7101008184
MI
Other
Enumeration date
04/10/2018
Last updated
11/03/2022
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