Individual
KIRSTEN NICOLE LOVELY-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10483 DIXIE HWY, HOLLY, MI 48442-9311
(810) 771-7686
Mailing address
10463 MILLER RD, SWARTZ CREEK, MI 48473-8588
(810) 845-5884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008391
MI
235Z00000X
Speech-Language Pathologist
7152000348
MI
Other
Enumeration date
04/14/2023
Last updated
04/17/2025
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