Individual
MALLORY KAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
304 W WACKERLY ST, MIDLAND, MI 48640-7264
(989) 492-7766
(989) 495-0532
Mailing address
1916 S MACKENZIE LN, MOUNT PLEASANT, MI 48858-8915
(989) 255-8693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152001177
MI
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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