Individual
CASSANDRA KIMBLE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3739
Mailing address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3739
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802016898
MI
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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