Individual
KILA MICHELE LATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED., CCC-SLP TS
Contact information
Practice address
161 KLEVIN STREET #103, ANCHORAGE, AK 99508
(907) 561-8060
(907) 563-3172
Mailing address
4635 UNION ROAD, CHEEKTOWAGA, NY 14225
(716) 505-5700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
149112
AK
Other
Enumeration date
08/19/2019
Last updated
03/25/2024
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