Individual
KAILIE DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1232 MARILYN LN, NORTH PORT, FL 34286-7689
(248) 564-8453
Mailing address
1232 MARILYN LN, NORTH PORT, FL 34286-7689
(248) 564-8453
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
252Y00000X
Early Intervention Provider Agency
—
MO
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/01/2015
Last updated
08/25/2023
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