Individual
MISS MACKENZIE ALYSE COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.A
Contact information
Practice address
5447 HAMPTON PL, SAGINAW, MI 48604-9284
(989) 252-7044
Mailing address
2172 N BLOCK RD, REESE, MI 48757-9347
(989) 415-8362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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