Individual
KATHERINE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-0660
Mailing address
17189 ELEIR DR, CLINTON TWP, MI 48038-7115
(810) 922-9985
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000690
MI
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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