Individual
KATRINA CUMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W 11 MILE RD STE 160, ROYAL OAK, MI 48067-5200
(248) 765-8343
Mailing address
801 W 11 MILE RD STE 160, ROYAL OAK, MI 48067-5200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801107858
MI
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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