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Kathleen Urbaniak

Peer Specialist in Redford, MI. Individual provider (NPI-1).

NPI number1316601065
StatusActive
Last updated in NPPESFeb 27, 2023

Details

NPI
1316601065
Entity type
Individual (NPI-1)
Name
Kathleen Urbaniak
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 28, 2021
Certification date
Feb 27, 2023
Last updated
Feb 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

12285 Dixie Ste 100
Redford, MI 48239-2491

Phone 313-543-3393

Mailing address

12285 Dixie
Redford, MI 48239-2491

Phone 313-543-3393

Other practice locations

707 W Milwaukee St
Detroit, MI 48202-2943

Phone 313-344-9099

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