KENYATTA FATINA LEWIS

SOUTHGATE, MI
NPI1053433037
Professional NameKENYATTA FATINA JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801088637)
Enumeration Date2007-04-03
Last Update Date2007-07-08
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
Mailing Address
Ms. KENYATTA FATINA LEWIS LLMSW
41355 WILLIAMSBURG BLVD
CANTON, MI 48187-3967
Phone number: 734-895-1766