Individual
KATELYN MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
23936 MICHIGAN AVE, DEARBORN, MI 48124-1833
(313) 278-4601
Mailing address
23936 MICHIGAN AVE, DEARBORN, MI 48124-1833
(313) 278-4601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003013
MI
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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