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Individual

KRISTEN FARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1150 S CANTON CENTER RD, CANTON, MI 48188-1608
(734) 395-5400
Mailing address
1096 PALMER ST, PLYMOUTH, MI 48170-2055
(734) 674-8322

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6362009600
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
11/09/2022
Last updated
11/09/2022
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