Individual
KANDICE SAKEENA MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22150 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
12/11/2024
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