Individual
MRS. KELLY REED GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
25391 BROOKVIEW ST, FARMINGTON HILLS, MI 48336-1324
(248) 579-3330
Mailing address
25391 BROOKVIEW ST, FARMINGTON HILLS, MI 48336-1324
(248) 579-3330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12134217
—
235Z00000X
Speech-Language Pathologist
71010000745
MI
Other
Enumeration date
06/09/2011
Last updated
02/03/2021
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