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Individual

KAREN ANN WALTON EBNIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
4614 KINGSTON CT, MIDLAND, MI 48642-3534
(989) 859-0074
Mailing address
4614 KINGSTON CT, MIDLAND, MI 48642-3534
(989) 859-0074

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002767
MI

Other

Enumeration date
02/19/2020
Last updated
02/19/2020
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