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Individual

KRISTYNA ELIZABETH MCDONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
26184 OUTER DR, LINCOLN PARK, MI 48146-2084
(313) 389-7500
(313) 389-7510
Mailing address
1053 PROGRESS AVE, LINCOLN PARK, MI 48146-2951
(407) 456-2516

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/16/2021
Last updated
02/16/2021
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