Individual
MS. KIERA MCGINLEY KUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
107 E MAIN ST STE 204, NORTHVILLE, MI 48167-1566
(248) 764-5751
Mailing address
1321 ORLEANS ST APT 1610, DETROIT, MI 48207-2950
(412) 715-5790
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6352000256
MI
Other
Enumeration date
08/29/2021
Last updated
08/29/2021
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