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Individual

MRS. KATHARINA LARA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
91 CROSS TIMBERS ST, OXFORD, MI 48371-4701
(248) 214-0983
Mailing address
91 CROSS TIMBERS ST, OXFORD, MI 48371-4701
(248) 214-0983

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007669
MI
235Z00000X
Speech-Language Pathologist
LL61219960
WA

Other

Enumeration date
02/09/2022
Last updated
09/12/2024
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