Individual
HANNAH KINGKITTISACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, TLLP
Contact information
Practice address
16500 TIREMAN ST, DETROIT, MI 48228-3629
(313) 451-1390
Mailing address
2675 FINI DR, MILFORD, MI 48380-3960
(810) 599-0396
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6362010066
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/08/2018
Last updated
11/19/2024
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