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Individual

MRS. MARY KAY KNOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22724 SAINT JOAN ST, SAINT CLAIR SHORES, MI 48080-3867
(248) 330-4103
(248) 330-4103
Mailing address
22724 SAINT JOAN ST, SAINT CLAIR SHORES, MI 48080-3867
(248) 330-4103
(248) 330-4103

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802080184
MI

Other

Enumeration date
10/03/2013
Last updated
07/02/2015
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