Individual
KIMBERLY BAILEY GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BSW
Contact information
Practice address
41521 W. MILE RD, NOVI, MI 48375
(248) 299-0030
Mailing address
41521 W. MILE RD, NOVI, MI 48375
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
10/28/2016
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