Individual
MS. RACHELLE BIETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
23936 MICHIGAN AVE, DEARBORN, MI 48124-1833
(313) 278-4601
Mailing address
53087 BAYBERRY DR, MACOMB, MI 48042-2839
(586) 419-1031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001177
MI
Other
Enumeration date
10/08/2016
Last updated
10/08/2016
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