Individual
MS. LISA KINDRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16754 FORRER ST, DETROIT, MI 48235-3606
(313) 874-8715
Mailing address
16754 FORRER ST, DETROIT, MI 48235-3606
(313) 874-8715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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