Individual
KENDRA ANN BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
38600 VAN DYKE AVE, STERLING HEIGHTS, MI 48312-1170
(517) 234-3627
Mailing address
4224 23 MILE RD, SHELBY TOWNSHIP, MI 48316-4010
(989) 529-6562
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013596
MI
Other
Enumeration date
04/05/2013
Last updated
05/29/2020
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