Individual
MARY KINSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26813 PARK LN, WOODHAVEN, MI 48183-4384
(734) 777-6375
Mailing address
26813 PARK LN, WOODHAVEN, MI 48183-4384
(734) 777-6375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014849
MI
101Y00000X
Counselor
70915
TX
Other
Enumeration date
07/31/2015
Last updated
05/02/2022
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