Kiara Jacole Phelps

NPI #1225780075 in Lincoln Park, Michigan

Provider Information

NPI Number: 1225780075
Entity Type: Individual
Name: Kiara Jacole Phelps
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 24, 2022
Last Updated: Jan 24, 2022

Practice Location

Address: 26300 OUTER DR
City: Lincoln Park
State: Michigan
ZIP Code: 48146-2019
Phone: (313) 388-4630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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