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1629157474
MAISHA KENYATTA
DETROIT, MI
NPI
1629157474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801019818)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
-- MAISHA KENYATTA MSW
13340 E WARREN AVE
DETROIT, MI 48215-2112
Phone number: 313-822-6940
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Mailing Address
-- MAISHA KENYATTA MSW
13340 E WARREN AVE
DETROIT, MI 48215-2112
Phone number: 313-822-6940
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