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Individual

KATHRYN ELINOR VISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
39555 ORCHARD HILL PL STE 410, NOVI, MI 48375-5523
(248) 952-5444
Mailing address
21706 OCONNOR ST, SAINT CLAIR SHORES, MI 48080-2955
(517) 945-1971

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004395
MI

Other

Enumeration date
02/03/2023
Last updated
02/03/2023
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