Individual
MRS. KERI ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3604 W WEBSTER RD, ROYAL OAK, MI 48073-6762
(734) 497-8128
Mailing address
3604 W WEBSTER RD, ROYAL OAK, MI 48073-6762
(734) 497-8128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12142775
MI
Other
Enumeration date
04/20/2013
Last updated
04/20/2013
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