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1053740100
KOURTENAY CALDWELL
SOUTHGATE, MI
NPI
1053740100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI L2551540)
Enumeration Date
2013-11-08
Last Update Date
2013-11-08
Business Address
-- KOURTENAY CALDWELL LLBSW
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 734-324-8326
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Mailing Address
-- KOURTENAY CALDWELL LLBSW
9930 SUSSEX ST
DETROIT, MI 48227-2010
Phone number: 313-778-8727
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