Individual
MS. KIM L TRAVIS-EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
29777 TELEGRAPH ONXY PL., SUITE 2500, SOUTHFIELD, MI 48034
(248) 356-8399
(248) 353-2786
Mailing address
18865 BRETTON DR, DETROIT, MI 48223-1336
(313) 273-2981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801018777
MI
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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