Organization
BAREFOOTSOULS-COM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE KAYE PHD (PRESIDENT)
(313) 978-7792
Entity
Organization
Contact information
Practice address
226 1ST ST, ROCHESTER, MI 48307-2600
(313) 978-7792
Mailing address
226 1ST ST, ROCHESTER, MI 48307-2600
(313) 978-7792
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012459
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E02975
BCBS
MI
Enumeration date
07/12/2010
Last updated
07/12/2010
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