Provider First Line Business Practice Location Address:
19120 CASS AVE
Provider Second Line Business Practice Location Address:
CHIPPEWA VALLEY SCHOOLS - SPECIAL SERVICES DPT
Provider Business Practice Location Address City Name:
CLINTON TOWNSHIP
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48038-2301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-723-2194
Provider Business Practice Location Address Fax Number:
586-723-5801
Provider Enumeration Date:
08/31/2006