Individual
KATIE MARIE KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5447 WOODWARD AVENUE, DETROIT, MI 48202-4099
(313) 832-1100
Mailing address
1378 PEARSON ST., FERNDALE, MI 48220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/11/2011
Last updated
02/10/2012
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