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Individual

KAYLA GILTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
62 W 7 MILE RD, DETROIT, MI 48203-1967
(313) 893-6172
Mailing address
62 W 7 MILE RD, DETROIT, MI 48203-1967

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801109493
MI
1041C0700X
Clinical Social Worker
6801109493
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3434247
MI
Enumeration date
11/25/2015
Last updated
03/07/2025
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