Individual
KENDRA DOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1953 KETEGAWN RD, OWOSSO, MI 48867-1529
(720) 220-8106
Mailing address
1953 KETEGAWN RD, OWOSSO, MI 48867-1529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017302
MI
Other
Enumeration date
10/08/2019
Last updated
01/11/2024
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