Individual
KATIE MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 S GULLEY RD, STE F, DEARBORN, MI 48124-4406
(734) 407-2500
Mailing address
3101 S GULLEY RD STE F, DEARBORN, MI 48124-4406
(734) 407-2500
(313) 792-8962
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007185
MI
Other
Enumeration date
09/01/2016
Last updated
07/11/2022
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