Individual
MRS. RENEE KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
32101 PRESCOTT ST, ROMULUS, MI 48174-9716
(313) 529-5727
Mailing address
32101 PRESCOTT ST, ROMULUS, MI 48174-9716
(313) 529-5727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801085227
MI
101YS0200X
School Counselor
Primary
6801085227
MI
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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