Individual
KAITLYN ROSE PLOHETSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 OAKRIDGE BLVD, LUMBERTON, NC 28358-2325
(910) 738-6071
Mailing address
24487 RIDGE POLE CT, SOUTH LYON, MI 48178-8297
(248) 697-7365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
30002173
NC
235Z00000X
Speech-Language Pathologist
36498
CA
235Z00000X
Speech-Language Pathologist
Primary
7101009039
MI
Other
Enumeration date
08/15/2023
Last updated
06/09/2025
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