Individual
CHRISTINE CLEAVENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 INKSTER RD, INKSTER, MI 48141-1831
(313) 565-2200
Mailing address
1403 INKSTER RD, INKSTER, MI 48141-1831
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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