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Individual

KIMBERLY SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14848 FENKELL ST, DETROIT, MI 48227-2646
(248) 421-8668
Mailing address
30845 RUNNING STRM APT 22, FARMINGTON HILLS, MI 48334-1281
(248) 421-8668
(313) 397-7708

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
AS820418004
MI
3104A0625X
Assisted Living Facility (Mental Illness)
AS820418004
MI
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
AS820418004
MI
315P00000X
Intellectual Disabilities Intermediate Care Facility
AS820418004
MI

Other

Enumeration date
08/04/2025
Last updated
09/19/2025
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