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Organization

KDL GROUP OF MICHIGAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENDALL LESURE LLMSW (CHIEF EXECUTIVE OFFICER)
(248) 943-3268
Entity
Organization

Contact information

Practice address
21411 CIVIC CENTER DR STE 109, SOUTHFIELD, MI 48076-3949
(248) 943-3268
Mailing address
21411 CIVIC CENTER DR STE 109, SOUTHFIELD, MI 48076-3949
(248) 943-3268

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/12/2014
Last updated
05/12/2014
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