Individual
MRS. KELLY SUE WARYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. - CCC
Contact information
Practice address
555 BAREBACK TRL, HOWELL, MI 48855-8286
(517) 518-2270
Mailing address
555 BAREBACK TRL, HOWELL, MI 48855-8286
(517) 518-2270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12092290
MI
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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