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Individual

KATHLEEN MARIANN BARBARA SALATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16158 EDGEWOOD DR, LIVONIA, MI 48154-2228
(734) 953-9216
Mailing address
16158 EDGEWOOD DR, LIVONIA, MI 48154-2228
(734) 953-9216

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005172
MI

Other

Enumeration date
08/10/2017
Last updated
07/21/2020
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