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Individual

HAYLEY KENNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1320 W 9TH ST, MOUNT CARMEL, IL 62863-2905
(618) 263-4337
Mailing address
2605 SCENICVIEW DR NE, GRAND RAPIDS, MI 49525-2012

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.013982
IL
235Z00000X
Speech-Language Pathologist
Primary
7101001560
MI

Other

Enumeration date
02/14/2018
Last updated
02/14/2018
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