Individual
KELLY BOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. CCC-SLP
Contact information
Practice address
945 E SHERMAN BLVD, NORTON SHORES, MI 49444-1805
(231) 737-4374
(231) 830-9196
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006444
MI
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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