Mack, Kandice

Mack, Kandice is an individual health care provider with primary practice located at 229 N Sheldon Rd , Plymouth MI 48170-1524. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Mack, Kandice can be contacted via phone (313) 278-4601.

Contact Information

Primary practice address
229 N Sheldon Rd Plymouth MI 48170-1524
Phone: (313) 278-4601
Fax: (313) 278-4601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1235535196
LBN Legal business name Mack, Kandice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2014
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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