Individual
MRS. KATHRYN ANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3010 WILSON AVE SW, GRANDVILLE, MI 49418-1242
(616) 249-8141
(616) 249-8147
Mailing address
3010 WILSON AVE SW, GRANDVILLE, MI 49418-1242
(616) 249-8141
(616) 249-8147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004472
MI
Other
Enumeration date
08/24/2015
Last updated
05/22/2019
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