Individual
MCKAILY CUSUMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8542 W GRAND RIVER AVE, BRIGHTON, MI 48116-2326
(734) 449-4649
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 265-4838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000717
MI
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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