KENOSHA WITHERSPOON

DETROIT, MI
NPI1366860637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2014-04-02
Last Update Date2014-04-02
Business Address
-- KENOSHA WITHERSPOON B.S.
9365 E OUTER DR
DETROIT, MI 48213-1507
Phone number: 313-695-5416
Mailing Address
-- KENOSHA WITHERSPOON B.S.
9365 E OUTER DR
DETROIT, MI 48213-1507
Phone number: 313-695-5416
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