KAELAN MYLO HENMAN

ADRIAN, MI
NPI1649813130
Former NameKAYLEE MICHAELE HENMAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence:   7101005768)
Enumeration Date2019-10-28
Last Update Date2021-12-15
Business Address
KAELAN MYLO HENMAN SLP
1424 S MAIN ST
ADRIAN, MI 49221-4309
Phone number: 517-312-1712
Mailing Address
KAELAN MYLO HENMAN SLP
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 914-294-4050