Individual
HALEY BORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-6390
Mailing address
601 JOHN ST, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005542
MI
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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