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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