Individual
MS. KATUNGWA KIAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1431 ROOSEVELT, YPSILANTI, MI 48197-2034
(734) 635-7004
(734) 219-7197
Mailing address
PO BOX 971961, YPSILANTI, MI 48197-0235
(734) 635-7004
(734) 219-7197
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801033763
MI
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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