Individual
KELLY LAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W NEWARK RD, LAPEER, MI 48446-9449
(810) 358-0373
Mailing address
1100 W NEWARK RD, LAPEER, MI 48446-9449
(810) 358-0373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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