Realizing Your Potential Llc | |
9045 Kinloch Redford MI 48239-1885 | |
(248) 636-7434 | |
Not Available |
Full Name | Realizing Your Potential Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 9045 Kinloch, Redford, Michigan |
Authorized Official Name and Position | Jacqueline Kaba (OWNER) |
Authorized Official Contact | 2486367434 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Realizing Your Potential Llc 9045 Kinloch Redford MI 48239-1885 Ph: (248) 636-7434 | Realizing Your Potential Llc 9045 Kinloch Redford MI 48239-1885 Ph: (248) 636-7434 |
NPI Number | 1407624307 |
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Provider Enumeration Date | 12/20/2023 |
Last Update Date | 12/20/2023 |
Certification Date | 12/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407624307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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