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Individual

KAILEY CHRISTIN CLINESMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
863 N PINE RD STE A, ESSEXVILLE, MI 48732-2159
(989) 928-3566
(989) 391-9596
Mailing address
863 N PINE RD STE A, ESSEXVILLE, MI 48732-2159
(989) 928-3566
(989) 391-9596

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YA0400X
MI
Enumeration date
05/03/2018
Last updated
05/03/2018
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