Organization
KLOCKWISE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYANA FORDHAM LMSW (CLINICAL DIRECTOR/ OWNER)
(810) 275-4206
Entity
Organization
Contact information
Practice address
41000 WOODWARD AVE STE 350, BLOOMFIELD HILLS, MI 48304-5092
(810) 275-4206
Mailing address
41000 WOODWARD AVE STE 350, BLOOMFIELD HILLS, MI 48304-5092
(810) 275-4206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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