Individual
KATELYNN LUCILLE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CF-SLP
Contact information
Practice address
9751 E GRAND RIVER AVE STE 1, PORTLAND, MI 48875-9802
(517) 376-3650
Mailing address
9751 E GRAND RIVER AVE STE 1, PORTLAND, MI 48875-9802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TBD
MI
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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