Individual
TRACI KELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 S WASHINGTON ST, OXFORD, MI 48371-6423
(248) 561-0748
Mailing address
7155 WILLOW OAK DR, WEST BLOOMFIELD, MI 48324-3080
(248) 561-0748
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002486
MI
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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