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1053433037
KENYATTA FATINA LEWIS
SOUTHGATE, MI
NPI
1053433037
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Professional Name
KENYATTA FATINA JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801088637)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Ms. KENYATTA FATINA LEWIS LLMSW
13101 ALLEN RD ADULT OUTPATIENT MENTAL HEALTH, SUITE 100
SOUTHGATE, MI 48195-2216
Phone number: 734-756-7705
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Mailing Address
Ms. KENYATTA FATINA LEWIS LLMSW
41355 WILLIAMSBURG BLVD
CANTON, MI 48187-3967
Phone number: 734-895-1766
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