Individual provider · Type 1 NPI

Change Kwesele

Student in an Organized Health Care Education/Training Program · East Lansing, MI

NPI number 1053983536 Active

Practice location

411 W Lake Lansing Rd Ste C120
East Lansing, MI 48823-8483

Call (517) 215-5217 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801106213 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053983536

Change Kwesele's National Provider Identifier is 1053983536, issued on Jul 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Lansing, MI. The record was last updated on Jul 14, 2021.