Individual
MS. KIMLIN DELL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(734) 897-3917
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(734) 897-3917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851111150
MI
1041C0700X
Clinical Social Worker
6851111150
MI
Other
Enumeration date
01/08/2022
Last updated
09/19/2023
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