Individual
KAITLIN PODDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
811 N MACOMB ST, MONROE, MI 48162-2929
(419) 482-8647
(734) 597-2018
Mailing address
811 N MACOMB ST, MONROE, MI 48162-2929
(419) 482-8647
(734) 597-2018
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006856
MI
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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