Individual
KALI GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(989) 615-4596
Mailing address
1971 N PARKER RD, DEXTER, MI 48130-9469
(989) 615-4596
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
22007174A
IN
Other
Enumeration date
06/26/2015
Last updated
07/11/2023
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