Individual
MRS. CATHERINE MARY ANTONCZAK-GRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
12319 HIGHLAND RD, SUITE 501, HARTLAND, MI 48353-2946
(810) 991-1211
Mailing address
880 MANDERLY DR, MILFORD, MI 48381-1304
(248) 508-7281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001658
MI
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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