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Kristen De Long
NPI 1730537341 · on the registry since 2016
Practice
- Address
- 504 E 4th St
Royal Oak, MI 48067 - Phone
- (248) 629-0285
- Organisation at this address
- Mind In Bloom Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 247200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan