Individual
MS. KINYATTA FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(586) 758-6670
Mailing address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP12910
—
MI
Enumeration date
12/05/2006
Last updated
01/22/2025
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