Individual
KACIE DIMMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 N TELEGRAPH RD, WATERFORD, MI 48328-2759
(248) 475-6300
Mailing address
1105 N TELEGRAPH RD, WATERFORD, MI 48328-2759
(248) 475-6300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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