Individual
KIMBERLY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
9102 N LILLEY RD, #249, PLYMOUTH, MI 48170-4644
(734) 634-4681
Mailing address
9102 N LILLEY RD, #249, PLYMOUTH, MI 48170-4644
(734) 634-4681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004282
MI
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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