Individual
SCOTT KIENZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 333-3274
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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