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Individual

FIONNA DAWN KASUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
34 FONTANA LN, GROSSE POINTE SHORES, MI 48236-1505
(586) 747-6769
Mailing address
34 FONTANA LN, GROSSE POINTE SHORES, MI 48236-1505
(586) 747-6769

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
MD

Other

Enumeration date
05/10/2023
Last updated
05/10/2023
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