Individual
KATHERINE DEBUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1001 LAURENCE AVE STE E, JACKSON, MI 49202-2980
(517) 750-4777
Mailing address
1001 LAURENCE AVE STE E, JACKSON, MI 49202-2980
(517) 750-4777
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
7101009364
MI
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/06/2022
Last updated
04/02/2025
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