Individual
KATHLEEN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
20925 LAKELAND ST, SAINT CLAIR SHORES, MI 48081-3364
(586) 405-5354
Mailing address
20925 LAKELAND ST, SAINT CLAIR SHORES, MI 48081-3364
(586) 405-5354
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002441
MI
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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