Individual
KACEY LYNNE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3178 HILTON RD, FERNDALE, MI 48220-1059
(248) 629-4600
Mailing address
3178 HILTON RD, FERNDALE, MI 48220-1059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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