Mytia Kencaid
NPI #1982025458 in Southfield, Michigan
Provider Information
- NPI Number
- 1982025458
- Entity Type
- Individual
- Name
- Mytia Kencaid
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 30, 2013
- Last Updated
- Dec 30, 2013
Practice Location
- Address
- 16200 CARRIAGE LAMP CT APT 702
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-3520
- Phone
- (313) 523-7477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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