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Organization
KIYOI CRAIG LMSW LLC
Active
Organization
KIYOI CRAIG LMSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIYOI J CRAIG LMSW (LMSW-CLINICAL THERAPIST)
(616) 281-1803
Entity
Organization
Contact information
Practice address
5890 KALAMAZOO AVE SE, KENTWOOD, MI 49508-6416
(616) 813-2605
Mailing address
5890 KALAMAZOO AVE SE, KENTWOOD, MI 49508-6416
(616) 813-2605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6801092618
MI
Other
Enumeration date
04/28/2017
Last updated
07/21/2022
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