Individual
LEKEISHA DAVIS-BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38271 MOUND RD STE 300, STERLING HEIGHTS, MI 48310-3403
(586) 477-2054
Mailing address
PO BOX 289, MASON, MI 48854-0289
(517) 676-5405
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/15/2023
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