DIANE GROSS WILLENS

SOUTHFIELD, MI
NPI1649555905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MI  00512863)
Enumeration Date2011-10-19
Last Update Date2011-10-19
Business Address
-- DIANE GROSS WILLENS MA.CCC-Slp
25865 W 12 MILE RD
SOUTHFIELD, MI 48034-1817
Phone number: 313-623-5898
Mailing Address
-- DIANE GROSS WILLENS MA.CCC-Slp
5640 WESTWOOD CT
BLOOMFIELD HILLS, MI 48301-1237
Phone number: 248-865-3452