Individual
STEPHANIE KASIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15959 HALL RD STE 410, MACOMB, MI 48044-5365
(586) 416-6290
Mailing address
15959 HALL RD STE 410, MACOMB, MI 48044-5365
(586) 416-6290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004760
MI
Other
Enumeration date
09/19/2018
Last updated
01/04/2021
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