Provider Information for 1649742792
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Mr. ROBERT JOSEPH KAISER Jr. LPC
Sex: Male
NPI: 1649742792
Last Updated: 2021-08-24
Certification Date: 2021-08-24
Certification Date: 2021-08-24
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1649742792 | ||||||||||||
| Enumeration Date | 2018-12-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 20643 MAPLE LN GROSSE POINTE WOODS, MI 48236-1523 United States Phone: 313-671-9689 | Fax: | ||||||||||||
| Primary Practice Address | 22708 HARPER AVE SAINT CLAIR SHORES, MI 48080-1823 United States Phone: 586-445-2210 | Fax:586-445-0070 | ||||||||||||
| Secondary Practice Address(es) | 29451 GREENFIELD RD | ||||||||||||
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