Individual
DANA MARIE KITCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8623 N WAYNE RD, 123, WESTLAND, MI 48185-1137
(734) 367-0469
Mailing address
4236 PERSIMMON DR, YPSILANTI, MI 48197-7475
(734) 975-2082
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
6801085797
MI
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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