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Individual

KATHRYN GENOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
2799 W GRAND BLVD, HENRY FORD HOSPITAL; K-8 ENT, DETROIT, MI 48202
(313) 363-7238
Mailing address
6041 PINE NEEDLE CT, CLARKSTON, MI 48346-2296

Taxonomy

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

Other

Enumeration date
05/03/2018
Last updated
05/03/2018
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