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1013339225
BENJAMIN KACKLEY
DETROIT, MI
NPI
1013339225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401013356)
Enumeration Date
2014-01-08
Last Update Date
2014-01-08
Business Address
-- BENJAMIN KACKLEY
24424 W MCNICHOLS RD
DETROIT, MI 48219-3653
Phone number: 313-255-0900
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Mailing Address
-- BENJAMIN KACKLEY
24424 W MCNICHOLS RD
DETROIT, MI 48219-3653
Phone number:
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