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1649813130
KAELAN MYLO HENMAN
ADRIAN, MI
NPI
1649813130
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Former Name
KAYLEE MICHAELE HENMAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: 7101005768)
Enumeration Date
2019-10-28
Last Update Date
2021-12-15
Business Address
KAELAN MYLO HENMAN SLP
1424 S MAIN ST
ADRIAN, MI 49221-4309
Phone number: 517-312-1712
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Mailing Address
KAELAN MYLO HENMAN SLP
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 914-294-4050
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