Individual
KELLIE ANNE WOEHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
50190 VAN BUREN ST, CANTON, MI 48188-2884
(734) 502-3544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000187
MI
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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