Individual
KAYSE GESELLE HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20251 CARLYSLE ST, DEARBORN, MI 48124
(313) 278-4601
Mailing address
9328 PANAMA AVE, YPSILANTI, MI 48198-3238
(734) 447-7603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
05/01/2025
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