Organization
COMMUNICATION MOMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN L ELLSWORTH M.A., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(616) 443-1699
Entity
Organization
Contact information
Practice address
11191 MCPHERSON ST NE, LOWELL, MI 49331-9766
(616) 443-1699
Mailing address
11191 MCPHERSON ST NE, LOWELL, MI 49331-9766
(616) 443-1699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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