KENOSHA WITHERSPOON, B.S.
Early Intervention Provider Agency
Active
Individual
NPI: 1366860637
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes | - |
Frequently Asked Questions
NPI 1366860637 is the National Provider Identifier for KENOSHA WITHERSPOON, B.S., a Early Intervention Provider Agency provider located in Detroit, MI. This NPI was enumerated on April 2, 2014.
KENOSHA WITHERSPOON, B.S. practices at 9365 E OUTER DR, Detroit, MI 48213.
Quick Facts
- NPI
- 1366860637
- Type
- Individual
- Enumerated
- Apr 2, 2014
- Last Updated
- Apr 2, 2014
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