Individual
MRS. JOY HEIDI KORNSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW CAC
Contact information
Practice address
9315 TELEGRAPH, REDFORD, MI 48239
(313) 450-4500
(313) 450-4514
Mailing address
35986 FAIR OAKS CT, FARMINGTON HILLS, MI 48331
(248) 488-0244
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801082550
MI
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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