Individual
KENYETTA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25750 STONYCROFT DR, SOUTHFIELD, MI 48033-5888
(248) 943-5236
Mailing address
25750 STONYCROFT DR, SOUTHFIELD, MI 48033-5888
(248) 943-5236
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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