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Individual
MS. KANDYCE KAYE BRINK
Active
Individual
MS. KANDYCE KAYE BRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. L.M.S.W. L.P.C
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401002128
MI
1041C0700X
Clinical Social Worker
Primary
6801060472
MI
Other
Enumeration date
08/24/2006
Last updated
03/03/2014
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