Individual
MACKENZIE J WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6376 QUAIL RUN DR, KALAMAZOO, MI 49009-2811
(269) 544-3764
(269) 544-3767
Mailing address
6376 QUAIL RUN DR, KALAMAZOO, MI 49009-2811
(269) 544-3764
(269) 544-3767
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001512
MI
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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