KANDACE ROSE SHORT

LIVONIA, MI
NPI1316667686
Former NameKANDACE ROSE MARZINA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801118614)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: MI  6851101608)
Enumeration Date2022-08-29
Last Update Date2024-06-05
Business Address
KANDACE ROSE SHORT LMSW
29550 FIVE MILE RD
LIVONIA, MI 48154-3710
Phone number: 800-395-3223
Mailing Address
KANDACE ROSE SHORT LMSW
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346-4824
Phone number: 800-395-3223