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1922475391
KATHRYN ELLSWORTH
GRAND RAPIDS, MI
NPI
1922475391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101004307)
Enumeration Date
2015-09-01
Last Update Date
2015-09-01
Business Address
-- KATHRYN ELLSWORTH M.A., CCC-SLP
4135 WEYMOUTH DR SE
GRAND RAPIDS, MI 49508-3763
Phone number: 616-443-1699
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Mailing Address
-- KATHRYN ELLSWORTH M.A., CCC-SLP
4135 WEYMOUTH DR SE
GRAND RAPIDS, MI 49508-3763
Phone number: 616-443-1699
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