Individual provider · NPI-1

Kenya Abdullah-Lateef

Social Worker, Clinical · Grand Rapids, MI

NPI number1972980118
StatusActive
Last updated in NPPESApr 27, 2015

Details

NPI
1972980118
Entity type
Individual (NPI-1)
Name
Kenya Abdullah-Lateef
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 27, 2015
Last updated
Apr 27, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

4011 Pointe O Woods St Se
Apt 77
Grand Rapids, MI 49508-8916

Phone 616-635-3805

Mailing address

4011 Pointe O Woods St Se
Apt 77
Grand Rapids, MI 49508-8916

Phone 616-635-3805

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