GEOFFREY KANTACK

TROY, MI
NPI1053718759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801096724)
Enumeration Date2014-11-24
Last Update Date2018-01-30
Business Address
GEOFFREY KANTACK LMSW
2075 W BIG BEAVER RD
TROY, MI 48084-3407
Phone number: 248-646-6659
Mailing Address
GEOFFREY KANTACK LMSW
5718 KENMOOR RD
BLOOMFIELD HILLS, MI 48301-1018
Phone number: 914-522-0531
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